Provider Demographics
NPI:1477505329
Name:SHAH, NIRAV K (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRAV
Middle Name:K
Last Name:SHAH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1203 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1209
Mailing Address - Country:US
Mailing Address - Phone:215-741-3141
Mailing Address - Fax:215-741-3143
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 138
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1209
Practice Address - Country:US
Practice Address - Phone:215-741-3141
Practice Address - Fax:215-741-3143
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-05-28
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Provider Licenses
StateLicense IDTaxonomies
PAMD426351207T00000X
NJ25MA07946500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI44695Medicare UPIN