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Individual

DR. MUNIZA SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4379 EASTON AVE STE 110, BETHLEHEM, PA 18020-1483
(260) 564-1205
Mailing address
4379 EASTON AVE STE 110, BETHLEHEM, PA 18020-1483
(260) 564-1205

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01056023A
IN
2084P0800X
Psychiatry Physician
Primary
MD437682
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD437682
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000244420
ANTHEM BLUE CROSS BLUE SH
IN
01
01056023A
MAGELLAN BEHAVIORAL
IN
01
01056023B
CSR
IN
05
200409990
IN
01
418373
VALUE OPTIONS
IN
Enumeration date
06/21/2006
Last updated
03/07/2023
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