Maully J Shah
Pediatrician Pediatric Cardiologist
3401 Civic Center Blvd Children's Hospital Of Philadelphia - Cardiology
Philadelphia
, Pennsylvania 19104-4319
Maully J Shah
Pediatrician Pediatric Cardiologist
3401 Civic Center Blvd Children's Hospital Of Philadelphia - Cardiology
Philadelphia
, Pennsylvania 19104-4319
(267) 425-9299
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Maully J Shah
- 100 E Penn Sq 9th Floor
- Philadelphia, PA
- Zip : 19107-3323
- Fax : (267) 425-9299
- Phone : (267) 425-9258
Second Address
- Maully J Shah
- 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Cardiology
- Philadelphia, PA
- Zip : 19104-4319
- Fax : (267) 426-9800
- Phone : (215) 590-4040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD049679L | PA |
| Y | 2080P0202X | Pediatric Cardiologist | MD049679L | PA |
National Provider Identifier
| NPI | 1154343606 |
|---|---|
| Provider Name | Maully J Shah |
| First Address | Philadelphia, PA 19107-3323 |
| Second Address | Philadelphia, PA 19104-4319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 05/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0026522 | (05) | NJ |
| 101094425 | (05) | PA |
| H50741 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.