Individual
AEKATA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1139 E LUZERNE ST, PHILADELPHIA, PA 19124-5234
(215) 537-5094
(215) 537-5096
Mailing address
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102-3628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS018609
PA
Other
Enumeration date
06/10/2015
Last updated
10/21/2025
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