DR. MANISH SHAH M.D. NPI 1902001936

NPI Information

NPI: 1902001936
Provider Name: DR. MANISH SHAH, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4510 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 744-1302
Get Directions

DR. Manish Shah, M.D. is an obstetrics gynecology in Philadelphia, PA with 31 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Manish Shah, M.D. NPI is 1902001936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4510 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124-602
Phone: (215) 744-1302
Fax: (215) 744-2544

The NPI 1902001936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 4/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	57.010801	OHIO	No
2	207V00000X	Obstetrics & Gynecology	0101245248	VIRGINIA	No
3	207V00000X	Obstetrics & Gynecology	MD444517	PENNSYLVANIA	Yes
4	207V00000X	Obstetrics & Gynecology	266248	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PRC200255927	OTHER		CDPHP
2	7805472	OTHER		MVP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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