Shah, Kaushal J

Shah, Kaushal J is an individual health care provider with primary practice located at 145 Hospital Ave Ste 300 , Du Bois PA 15801-1465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Shah, Kaushal J can be contacted via phone (814) 375-2040.

Contact Information

Primary practice address
145 Hospital Ave Ste 300 Du Bois PA 15801-1465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101262871 Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.090188 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD427835 Pennsylvania

Profile Details

NPI number 1720178536
LBN Legal business name Shah, Kaushal J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720178536 NPPES
Ohio MEDICAID 2650180
Ohio MEDICAID 1720178536

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