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Contact Information

KEVIN J SHAH, MD
1 GRANITE POINT DR STE 100
WYOMISSING, PA19610-1992
 Phone: 610-378-1344
 Fax: 610-378-5169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEVIN J SHAH · (Male)

NPI # 1740417252
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2009
Last updated 06/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD457586
  • PA Medicaid 1031164500001
  • PA Medicaid 1031164500003
  • PA Medicaid 1031164500004
Hospital affiliation(s)
  • READING HOSPITAL MEDICAL CENTER - (Acute Care)
    SIXTH AVENUE AND SPRUCE ST
    READING, PA 19603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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