Individual
SHAHIR MONSURUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(800) 858-1662
Mailing address
500 N 18TH ST APT 809, PHILADELPHIA, PA 19130-3957
(732) 770-5062
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD478332
PA
Other
Enumeration date
03/31/2016
Last updated
09/18/2023
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