Maully J Shah

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Maully J Shah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Maully J Shah
Credential :	M.D.
Gender :	Female

Business Address:

Maully J Shah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology Philadelphia, PA, 19104-4319 United States
Phone Number :	215-590-4040
Fax Number :	267-426-9800

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1154343606
NPI Entity Type :	Individual
First Enrolment Date :	24 Jul, 2006
Last Updated On :	05 Mar, 2015

Medicare Participation:

Maully J Shah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820986201
Medicare Enrollment ID :	I20040308000698
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1989
Accepts Medicare?	Yes. Maully J Shah accepts medicare insurance.

Group Practice Association:

Maully J Shah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Maully J Shah is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maully J Shah are as mentioned. Primary taxonomy code for Maully J Shah, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD049679L	PA
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD049679L	PA

Legacy Identifiers:

Other legacy medical identifiers of Maully J Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
0026522	MEDICAID	NJ
101094425	MEDICAID	PA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 E Penn Sq, 9th Floor Philadelphia, PA, 19107-3323 United States
Phone Number :	267-425-9258
Fax Number :	267-425-9299

Business Location:

Patients can refer following map for directions to Maully J Shah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.