Individual
KUNJAN N. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3998 RED LION RD, WORKHEALTH, PHILADELPHIA, PA 19114-1436
(215) 612-4836
(215) 612-4904
Mailing address
PO BOX 8500-6160, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 612-4904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053284
PA
363A00000X
Physician Assistant
OA002250
PA
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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