| Shah Neurology & Epilepsy, Llc | |
|
1700 Bent Creek Blvd Ste 150 Mechanicsburg PA 17050-1870 | |
| (717) 697-4980 | |
| (717) 697-4979 |
| Full Name | Shah Neurology & Epilepsy, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1700 Bent Creek Blvd Ste 150, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Jagdish R Shah (SOLE MEMBER) |
| Authorized Official Contact | 7176974980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Neurology & Epilepsy, Llc Po Box 339 Mechanicsburg PA 17055-0339 Ph: (717) 697-4980 | Shah Neurology & Epilepsy, Llc 1700 Bent Creek Blvd Ste 150 Mechanicsburg PA 17050-1870 Ph: (717) 697-4980 |
| NPI Number | 1548466931 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 10/17/2008 |
| Medicare PECOS PAC ID | 6406947597 |
|---|---|
| Medicare Enrollment ID | O20070803000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548466931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD426776 (Pennsylvania) | Primary |
| Provider Name | Jagdish R Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528029725 PECOS PAC ID: 0749212975 Enrollment ID: I20050908000340 |
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