CRYSTAL R. SHAH MD
NPI 1376004895
Pediatrics in Philadelphia, PA

Q: What is Crystal Shah's NPI number?

The NPI number for Crystal Shah is 1376004895. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Crystal Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Shah was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2019

3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-2164 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2023, Jul 7, 2023 (2 updates tracked since 2023).

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About Crystal R. Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL R. SHAH MD (NPI 1376004895) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481600) and active in the NPI registry since March 2019. She maintains a secondary practice location in King Of Prussia.

NPPES Registry Identity

NPI1376004895

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCRYSTAL R. SHAHCredential: MD

Location Address3500 CIVIC CENTER BLVDPhiladelphia, PA 19104-4395

Mailing Address3500 Civic Center BlvdPhiladelphia, PA 19104-4395 · (215) 590-2164

Phone(215) 590-2164

Sole ProprietorNo

Enumeration DateMarch 27, 2019

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1376004895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD481600

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3500 CIVIC CENTER BLVD, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 1550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (215) 590-2164

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA M HAMMONDS PH.D.

Psychologist (Clinical)