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Dr. Lisa Jitendra Shah, DO
Adult Medicine Physician in Philadelphia, Pennsylvania
NPI 1336282953

Lisa Jitendra Shah is an Adult Medicine Physician based in Philadelphia, PA and is specialized in Adult Medicine. Lisa Jitendra Shah practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Lisa Jitendra Shah is 1336282953 and holds a License No. 231392 (Pennsylvania).

The current practice location address for Lisa Jitendra Shah is 321 W Girard Ave, Philadelphia, PA and can be reached out via phone at 215-685-3808 and via fax at 215-685-3848. You can also correspond with Lisa Jitendra Shah through the mailing address at 321 W GIRARD AVE, PHILADELPHIA, PA - 19123-1531 (mailing address contact number: 215-685-3808).

Location: 321 W Girard Ave, Philadelphia, PA, 19123-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336282953
Provider Name
Lisa Jitendra Shah
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
321 W Girard Ave, Philadelphia, PA, 19123-1531
Phone Number
215-685-3808
Fax Number
215-685-3848
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231392 01 NY LICENSE
02706081 05 NY
institution
Provider Business Practice Location Address Details
Address
321 W Girard Ave
City
Philadelphia
State
Pennsylvania
Zip
19123-1531
Phone Number
215-685-3808
Fax Number
215-685-3848
person
Provider Business Mailing Address Details
Address
321 W Girard Ave
City
Philadelphia
State
Pennsylvania
Zip
19123-1531
Phone Number
215-685-3808
Fax Number
215-685-3848
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS014477 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
231392 (New York)
Definition
Definition to come.
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