Vijaya J Shah
Family Doctor Family Doctor - Geriatric Medicine
862 Second Street Pike
Richboro
, Pennsylvania 18954-1005
Vijaya J Shah
Family Doctor Family Doctor - Geriatric Medicine
862 Second Street Pike
Richboro
, Pennsylvania 18954-1005
(215) 322-4394
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Vijaya J Shah
- 862 Second Street Pike
- Richboro, PA
- Zip : 18954-1005
- Fax : (215) 322-4394
- Phone : (215) 322-9292
Second Address
- Vijaya J Shah
- 862 Second Street Pike
- Richboro, PA
- Zip : 18954-1005
- Fax : (215) 322-4394
- Phone : (215) 322-9292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD037842L | PA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | MD037842L | PA |
National Provider Identifier
| NPI | 1043273063 |
|---|---|
| Provider Name | Vijaya J Shah |
| First Address | Richboro, PA 18954-1005 |
| Second Address | Richboro, PA 18954-1005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 22/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001034344 | (05) | PA |
| C29702 | (02) | PA |
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.