Individual
MR. MAHENDRA K. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2872 TURNPIKE ST, SUSQUEHANNA, PA 18847-2771
(570) 853-3135
(570) 853-3008
Mailing address
25066 SR 11, NEPA COMMUNITY HEALTH CARE, HALLSTEAD, PA 18822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD038467L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637967
—
PA
Enumeration date
06/15/2006
Last updated
03/30/2010
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