Individual
DR. SHAM PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
320 EAST NORTH AVENUE, PITTSBURGH, PA 15212
(412) 359-3166
Mailing address
212 APRILMAE WAY, PITTSBURGH, PA 15237
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006682
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC006682
STATE LICENSE
PA
Enumeration date
04/16/2015
Last updated
02/04/2019
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