Individual provider · Type 1 NPI

Revans Shah

Student in an Organized Health Care Education/Training Program · Easton, PA

NPI number 1922549575 Active

Practice location

3749 Ranee St
Easton, PA 18045-3038

Call (484) 844-4061 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922549575

Revans Shah's National Provider Identifier is 1922549575, issued on Mar 15, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Easton, PA. The record was last updated on Mar 24, 2017.