Active NPIIndividual provider

Azhar Shah, DO

Internal Medicine in Portland, Maine

NPI Number1255837654
Practice location
22 Bramhall St, Portland, ME 04102-3175
Fax
—
Last updated
September 15, 2023

Azhar Shah is an Internal Medicine based in Portland, ME. Azhar Shah practices in Portland, ME and has the professional credentials of DO. The NPI Number for Azhar Shah is 1255837654 and holds a License No. OS022220 (PA). The current practice location address for Azhar Shah is 22 Bramhall St, Portland, ME 04102-3175 and can be reached out via phone at 207-662-0111.

Provider Profile Details

NPI Number
1255837654
Provider Name
Azhar Shah
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
22 Bramhall St, Portland, ME 04102-3175
Phone Number
207-662-0111
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2018
Last Update Date
September 15, 2023
Certification Date
September 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3175
State
Maine
Zip
04102-3175
Phone Number
207-662-0111
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
51 N 39TH St
Philadelphia, PA 19104-2640
City
Philadelphia
State
PA
Zip
19104-2640
Phone Number
215-662-9990
Fax Number
215-243-3297

License Information

License Number (1)
OS022220
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
DO3661
License State (2)
ME
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Azhar Shah, DO?

The NPI number of Azhar Shah, DO is 1255837654. It was assigned on April 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Azhar Shah, DO?

Azhar Shah, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number OS022220.

Where does Azhar Shah, DO practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3175. The office can be reached at 207-662-0111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255837654 directly on the NPPES registry website.

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