Lisa Jitendra Shah in Philadelphia - Adult Medicine

Lisa Jitendra Shah - NPI 1336282953

Lisa Jitendra Shah is a Adult Medicine in Philadelphia, Pennsylvania. Lisa Jitendra Shah practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Lisa Jitendra Shah is 1336282953. The last update date is 2012-01-30.

Lisa Jitendra Shah's current location address is 321 W Girard Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156853808 and fax number 2156853848. The mailing address for Lisa Jitendra Shah is 321 W Girard Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Jitendra Shah
Address 321 W Girard Ave, Philadelphia, Pennsylvania
Phone Number 2156853808
Fax Number 2156853848
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1336282953
Provider Enumeration Date 2007-02-14
Last Updated Date 2012-01-30

Provider Mailing Address Detail

Address 321 W Girard Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191231531
Phone Number 2156853808
Fax Number 2156853848

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No OS014477
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
231392 NY LICENSE
2706081 NY --

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FAQs about Lisa Jitendra Shah

What is the unique 10-digit identification code assigned to Lisa Jitendra Shah by the Centers for Medicare & Medicaid Services?

The Lisa Jitendra Shah has been issued the NPI (National Provider Identifier) 1336282953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lisa Jitendra Shah is located?

The Lisa Jitendra Shah is situated at the following address: 321 W Girard Ave, Philadelphia, PA, 191231531.

What is Lisa Jitendra Shah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lisa Jitendra Shah is Adult Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0505X.

On what date did Lisa Jitendra Shah receive its 1336282953 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Jitendra Shah was assigned its 1336282953 on 2007-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Lisa Jitendra Shah most recently updated or revised?

The details related to Lisa Jitendra Shah, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-30.

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