Provider Demographics
NPI:1164885521
Name:SHAH, NIYATI (MD-PHD)
Entity Type:Individual
Prefix:
First Name:NIYATI
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DRAKE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1556
Mailing Address - Country:US
Mailing Address - Phone:412-347-0057
Mailing Address - Fax:
Practice Address - Street 1:101 DRAKE RD STE C
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1556
Practice Address - Country:US
Practice Address - Phone:412-347-0057
Practice Address - Fax:412-347-0062
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA468330207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine