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Mital Shah, MD
Nephrology Physician in Philadelphia, Pennsylvania
NPI 1194111765

Mital Shah is a Nephrology Physician based in Philadelphia, PA and is specialized in Nephrology. Mital Shah practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Mital Shah is 1194111765 and holds a License No. 25MA11359900 (Pennsylvania).

The current practice location address for Mital Shah is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-2638.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194111765
Provider Name
Mital Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 19104-4405
Phone Number
215-662-2638
Fax Number
Provider Enumeration Date
04/10/2015
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4405
Phone Number
215-662-2638
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4405
Phone Number
215-662-2638
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
()
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MA11359900 (New Jersey)
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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