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Sarah R Shah

Family Medicine

Allopathic & Osteopathic Physicians

10101 Academy Road, Suite 104, Philadelphia, PA 19114-1120

PECOS Enrollment

This provider is enrolled in PECOS as SARAH SHAH.

Based on the most recent information from CMS, provider Sarah R Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:35 AM.

Profile Details

Provider ID
1912292970
Provider Type
Individual
Full Name
Shah, Sarah R
Title
Dr.
Credential
D.O.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/17/2011
Last Updated
10/14/2015

Contact Information

Practice Location

10101 Academy Road, Suite 104, Philadelphia, PA 19114-1120

(215) 632-4000

(215) 632-1661

Mailing Location

P. O. Box 8500-6335, Philadelphia, PA 19178-6335

(215) 632-4000

(215) 632-1661

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License OS016551 Pennsylvania

Sarah R Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Flannery, Patrick

Aria Health Physician Services

O'Donnell, Brian William

Ball, Robert A

Aria Health Physician Services

Nazareth Physician Services Inc

Academy Road Medical Associates, Llc

Mehta, Jaya

Schecter, Herbert M

Nghiem, Jacqueline