Healthcare Provider Details

I. General information

NPI: 1952982829
Provider Name (Legal Business Name): AHMED SALAH SHALABY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 EAST MARSHALL STREET
WEST CHESTER PA
19380-4412
US

IV. Provider business mailing address

701 EAST MARSHALL STREET
WEST CHESTER PA
19380-4412
US

V. Phone/Fax

Practice location:
  • Phone: 610-431-5530
  • Fax: 610-431-5144
Mailing address:
  • Phone: 610-431-5530
  • Fax: 610-431-5144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD494583
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA13221000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: