Provider Demographics
NPI:1447443056
Name:SHAH, RACHANA (MD)
Entity type:Individual
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First Name:RACHANA
Middle Name:
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:CHCA ENDOCRINOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - ENDOCRINOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-3174
Practice Address - Fax:215-590-3053
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2016-02-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD4284852080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology