Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD455238 | PA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD455238 | PA |
NPI | 1053538280 |
---|---|
Provider Name | Apurva Surendra Shah |
First Address | Iowa City, IA 52242-1009 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 21/11/2018 |