Search › Pennsylvania › 390200000X
Revans Shah
NPI 1922549575 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3749 Ranee St
Easton, PA 18045 - Phone
- (484) 844-4061
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania