Individual
SHAILEN R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 SECOND AVENUE, SUITE C-750, COLLEGEVILLE, PA 19426
(610) 409-9440
Mailing address
555 SECOND AVENUE, SUITE C-750, COLLEGEVILLE, PA 19426
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
PA MD052281L
PA
Other
Enumeration date
10/03/2006
Last updated
05/20/2008
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