Provider Demographics
NPI:1043400914
Name:SHAH, NAVIN P (MD)
Entity Type:Individual
Prefix:
First Name:NAVIN
Middle Name:P
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 WESTGERMANTOWN PIKE
Mailing Address - Street 2:EINSTEIN HEALTH CARE MONTGOMERY
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401
Mailing Address - Country:US
Mailing Address - Phone:484-622-1000
Mailing Address - Fax:
Practice Address - Street 1:559 WEST GERMANTOWN
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-3323
Practice Address - Country:US
Practice Address - Phone:484-622-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038966L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC34589Medicare UPIN