Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal R. Shah, MD

Individual provider Pediatrics Physician · NPI 1376004895

Crystal R. Shah, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Phone: (215) 590-2164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 S Goddard Blvd, King Of Prussia, PA 19406-2922 — (215) 590-2164

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD481600 (PA)

Record details

NPI number1376004895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

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