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NPI Code Detail

MEDICARE: GIRISH SHAH MD

MEDICARE: GIRISH SHAH MD
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
12084P0800XPsychiatry PhysicianMD060129LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2117012OTHERPACBH

General Provider Information

NPI Number : 1053312272
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIRISH SHAH MD
Provider Business Mailing Address
First Line : 801 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4212
Country : US
Telephone Number : 215-787-2383
Fax Number : 215-787-4374
Provider Business Practice Location Address
First Line : 801 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4212
Country : US
Telephone Number : 215-787-2383
Fax Number : 215-787-4374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 09/22/2025

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Directions to “ GIRISH SHAH MD” Practice Location

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