DR. MITCHELL LEE SHELLMAN MD NPI 1851977680

NPI Information

NPI: 1851977680
Provider Name: DR. MITCHELL LEE SHELLMAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address: 3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-2000

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NPI Details

DR. Mitchell Lee Shellman, MD is a general practice in Philadelphia, PA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Mitchell Lee Shellman, MD NPI is 1851977680. 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:

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140-189
Phone: (215) 707-2000

The enumeration date for this NPI number is 3/22/2021 and was last updated on 9/22/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program		COLORADO	No
2	390200000X	Student in an Organized Health Care Education/Training Program	MT226019	PENNSYLVANIA	No
3	208D00000X	General Practice	M-17432	IDAHO	Yes

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	MT226019	MEDICAID	PENNSYLVANIA
2	208D00000X	MEDICAID	IDAHO

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: 11/21/2025

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