Shah, Kevin J

Shah, Kevin J is an individual health care provider with primary practice located at 1 Granite Point Dr Ste 100 , Wyomissing PA 19610-1992. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shah, Kevin J can be contacted via phone (610) 378-1344.

Contact Information

Primary practice address
1 Granite Point Dr Ste 100 Wyomissing PA 19610-1992
Phone: (610) 378-1344
Fax: (610) 378-5169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD457586 Pennsylvania

Profile Details

NPI number 1740417252
LBN Legal business name Shah, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2009
Last updated Jun 23rd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740417252 NPPES
Pennsylvania MEDICAID 1031164500003
Pennsylvania MEDICAID 1031164500004
Pennsylvania MEDICAID 1031164500001

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