Individual
MITESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE BLDG 280, WYNNEWOOD, PA 19096-3450
(610) 642-3005
(610) 649-4367
Mailing address
100 E LANCASTER AVE BLDG 280, WYNNEWOOD, PA 19096-3450
(610) 642-3005
(610) 649-4367
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD458198
PA
Other
Enumeration date
07/13/2011
Last updated
09/10/2019
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