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Shivam Shah
Vascular & Interventional Radiology Physician in Paoli, Pennsylvania
NPI 1144640061

Shivam Shah is a Vascular & Interventional Radiology Physician based in Dallas, PA and is specialized in Vascular & Interventional Radiology. Shivam Shah practices in Paoli, PA. The NPI Number for Shivam Shah is 1144640061 and holds a License No. MD472121 (Pennsylvania).

The current practice location address for Shivam Shah is 255 W Lancaster Ave, Paoli, PA and can be reached out via phone at 484-565-1596 and via fax at 610-889-0813.

Location: 255 W Lancaster Ave, Paoli, PA, 75267-8678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144640061
Provider Name
Shivam Shah
Credential
Provider Entity Type
Individual
Gender
Male
Address
255 W Lancaster Ave, Paoli, PA, 75267-8678
Phone Number
484-565-1596
Fax Number
610-889-0813
Provider Enumeration Date
04/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1D6800 05 PA
1D6795 05 PA
institution
Provider Business Practice Location Address Details
Address
255 W Lancaster Ave
City
Paoli
State
Pennsylvania
Zip
19301-1763
Phone Number
484-565-1596
Fax Number
610-889-0813
person
Provider Business Mailing Address Details
Address
255 W Lancaster Ave
City
Paoli
State
Pennsylvania
Zip
19301-1763
Phone Number
484-565-1596
Fax Number
610-889-0813
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD472121 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD472121 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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