Individual
KAVITA GUPTA-SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 BUCK RD STE 106, HOLLAND, PA 18966-1748
(215) 322-1919
(215) 322-2875
Mailing address
295 BUCK RD STE 106, HOLLAND, PA 18966-1748
(215) 322-1919
(215) 322-2875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
243302
MA
208000000X
Pediatrics Physician
25MA08390800
NJ
208000000X
Pediatrics Physician
Primary
MD448419
PA
Other
Enumeration date
04/26/2008
Last updated
08/20/2024
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