Individual
DR. VIVAN PRANAV SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 NORMANDIE DR, YORK, PA 17408-1534
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01088086A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD479688
PA
Other
Enumeration date
06/14/2018
Last updated
11/26/2025
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