| NPI | 1528222569 | 
|---|---|
| Former Name | PAYAL KIRAN SHAH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60191665) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT 194034) | 
| Enumeration Date | 2008-07-17 | 
| Last Update Date | 2024-10-16 |