Individual
DR. PAULESH K. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D63939
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331007800
—
MD
Enumeration date
02/22/2007
Last updated
01/19/2012
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