Provider Demographics
NPI:1518584861
Name:SHAH, SHREEJA (MD)
Entity Type:Individual
Prefix:
First Name:SHREEJA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
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:ABINGTON MEMORIAL HOSPITAL, GME OFFICE
Mailing Address - Street 2:1200 OLD YORK ROAD
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3788
Mailing Address - Country:US
Mailing Address - Phone:215-481-2000
Mailing Address - Fax:
Practice Address - Street 1:ABINGTON MEMORIAL HOSPITAL, GME OFFICE
Practice Address - Street 2:1200 OLD YORK ROAD
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3788
Practice Address - Country:US
Practice Address - Phone:215-481-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2023-07-19
Deactivation Date:2022-02-10
Deactivation Code:
Reactivation Date:2022-03-02
Provider Licenses
StateLicense IDTaxonomies
PAMD481527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine