Individual
DR. SHAHLA VAKILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 LOCUST STREET, PHILADELPHIA, PA 19102
(610) 331-6942
(215) 875-8324
Mailing address
5401 OLD YORK ROAD, KLEIN 401, PHILADELPHIA, PA 19141-3030
(215) 456-7190
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
1860
DE
2084N0400X
Neurology Physician
Primary
MD43311
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100853575000
—
PA
Enumeration date
11/29/2006
Last updated
04/04/2016
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