Provider Demographics
NPI:1689822702
Name:SHAH, SAEEDA W (MD)
Entity Type:Individual
Prefix:DR
First Name:SAEEDA
Middle Name:W
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2424
Mailing Address - Fax:717-334-6659
Practice Address - Street 1:40 V TWIN DR
Practice Address - Street 2:SUITE 204
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7875
Practice Address - Country:US
Practice Address - Phone:717-339-2424
Practice Address - Fax:717-334-6659
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD435455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD945879OtherCAREFIRST MD BCBS
PA254600OtherUNISON-WMG
PAP009541OtherGATEWAY-WMG
PA2071952OtherHIGHMARK BLUE SHIELD
PA50081551OtherCAPITAL BLUE CROSS-WMG
PA122493OtherGEISINGER HEALTH PLAN
PA20081884OtherAMERIHEALTH MERCY-WMG
PAP00981393OtherRAILROAD MEDICARE
PA102216460Medicaid
PA225405OtherJOHNS HOPKINS
PA9107292OtherAETNA
PA50081551OtherCAPITAL BLUE CROSS-WMG
PA136866FLTMedicare PIN