Individual
DR. RAMESH M. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
695 E 16TH ST, SUITE A, BERWICK, PA 18603-2320
(570) 759-5005
Mailing address
354 STANLEY DR, KINGSTON, PA 18704-5610
(570) 288-3903
(570) 288-3903
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD024069E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015204000001
—
PA
Enumeration date
05/01/2006
Last updated
06/08/2012
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