| Jay H And Vijaya J Shah Md | |
|
862 Second Street Pike Richboro PA 18954-1005 | |
| (215) 322-9292 | |
| Not Available |
| Full Name | Jay H And Vijaya J Shah Md |
|---|---|
| Speciality | Family Medicine |
| Location | 862 Second Street Pike, Richboro, Pennsylvania |
| Authorized Official Name and Position | Jay H Shah (OWNER) |
| Authorized Official Contact | 2153229292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay H And Vijaya J Shah Md 862 Second Street Pike Richboro PA 18954-1005 Ph: (215) 322-9292 | Jay H And Vijaya J Shah Md 862 Second Street Pike Richboro PA 18954-1005 Ph: (215) 322-9292 |
| NPI Number | 1861676280 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861676280 | NPI | - | NPPES |
| 0008385670001 | Medicaid | PA | |
| 0423947001 | Other | PA | IBC-HMO |
| 0010343440001 | Medicaid | PA | |
| 1004967 | Other | PA | KEY STONE MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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