Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD446610 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD446610 | PA |
NPI | 1174757827 |
---|---|
Provider Name | George C Shaw |
First Address | Pittsburgh, PA 15212-4756 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 30/09/2020 |