Individual provider · Type 1 NPI

Sushrut S. Shah, MD

Diagnostic Radiology Physician · Philadelphia, PA

NPI number 1629086046 Active

Practice location

10800 Knights Rd, Attn: Radiology
Philadelphia, PA 19114-4200

Call (215) 612-2610 Map

Fax (215) 612-5077

Mailing address

PO Box 782743, Attn: Credentialing
Philadelphia, PA 19178-2743

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD430272 (PA)
Neuroradiology Physician 2085N0700XMD430272 (PA)
Diagnostic Radiology Physician 2085R0202X25MA09271500 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1629086046

Sushrut S. Shah, MD's National Provider Identifier is 1629086046, issued on Aug 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 20, 2016.