SUSHRUT S. SHAH

PHILADELPHIA, PA
NPI1629086046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: PA  MD430272)
Additional Taxonomies2085N0700X Radiology, Neuroradiology
(Licence: PA  MD430272)
2085R0202X Radiology, Diagnostic Radiology
(Licence: NJ  25MA09271500)
Enumeration Date2006-08-03
Last Update Date2016-01-20
Business Address
-- SUSHRUT S. SHAH MD
10800 KNIGHTS RD ATTN: RADIOLOGY
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-2610
Mailing Address
-- SUSHRUT S. SHAH MD
PO BOX 782743 ATTN: CREDENTIALING
PHILADELPHIA, PA 19178-2743
Phone number: 602-910-6887