Shah, Ghazanfar A
Shah, Ghazanfar A is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shah, Ghazanfar A can be contacted via phone (814) 371-1784.Contact Information
Primary practice address
100 Hospital Ave
Du Bois PA 15801-1440
Phone: (814) 371-1784
Fax: (814) 371-4812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD021477E | Pennsylvania |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD021477E | Pennsylvania |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD021477E | Pennsylvania |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | MD021477E | Pennsylvania |
Profile Details
NPI number | 1477538783 |
---|---|
LBN Legal business name | Shah, Ghazanfar A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 8th, 2005 |
Last updated | Oct 3rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477538783 | NPPES |
Other | P022732 | TRICARE CLASS | |
Other | 300036814 | TRICARE CLASS | |
Other | 099132 | TRICARE CLASS | |
Other | 30006409 | TRICARE CLASS | |
Other | 39972 | TRICARE CLASS | |
MEDICAID | 0014331420001 | TRICARE CLASS | |
Other | 020636100 | TRICARE CLASS | |
Other | 1462168 | TRICARE CLASS | |
Other | 0014331420001 | TRICARE CLASS | |
Other | 206361 | TRICARE CLASS |
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