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NPI Code Detail

MEDICARE: MR. NAVINCHANDRA K SHAH PT

MEDICARE:  MR. NAVINCHANDRA K SHAH  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist5501002350MI
2174400000XSpecialist1297270TX

General Provider Information

NPI Number : 1053418699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NAVINCHANDRA K SHAH PT
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-612-5667
Fax Number : 610-347-4147
Provider Business Practice Location Address
First Line : 6350 WINTER PARK DR
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-5363
Country : US
Telephone Number : 817-503-0702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 09/06/2023

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