Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS015169 | PA |
N | 111NI0900X | Internist | OS015169 | PA |
Y | 207RH0002X | Hospice and Palliative Medicine | OS015169 | PA |
NPI | 1194916510 |
---|---|
Provider Name | Vinti Shah |
First Address | Reading, PA 19612-3579 |
Second Address | West Reading, PA 19611-2143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102608406 | (05) | PA |