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NPI Code Detail

MEDICARE: RIYA M SHAH

MEDICARE: RIYA M SHAH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1508795386
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIYA M SHAH
Provider Business Mailing Address
First Line : 243 LARKSPUR LN
Second Line :
City : HATFIELD
State : PA
Zip : 19440-3082
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3655 MUNICIPAL DR
Second Line :
City : WHITEHALL
State : PA
Zip : 18052-2923
Country : US
Telephone Number : 610-432-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ RIYA M SHAH ” Practice Location

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