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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIDDHARTH SHAH

Active Sole Proprietor

SIDDHARTH SHAH is a Orthotic Fitter healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1306347984 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · PHILADELPHIA, PA

Registration Details

NPI Number
1306347984
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2018 (8.4874807040272 yrs)
Last Updated
Feb 28, 2018
License
129082 (CA)
Sole Proprietor
Yes

Practice Information

Address
4000 PRESIDENTIAL BLVD APT 1119
PHILADELPHIA, PA, 191311721
Browse PA providers · Browse ZIP 19131
Phone
7327252323
Primary Specialty
Orthotic Fitter
242T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.