Individual
DR. DHAIVAT JANAKBHAI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3190
(347) 259-6610
Mailing address
1970 VETERANS HWY APT H1, LEVITTOWN, PA 19056-2510
(347) 259-6610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT231162
PA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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