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

Individual provider Internal Medicine Physician · NPI 1407059710

Dr. Siddharth P Shah, MD is a Nephrology in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2004, 22 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Pennsylvania.

Years since qualifying
22
Trained at
Temple University School of Medicine
Licensed in
IL, PA
In the registry since
2007
Specialties on file
3
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

3400 Spruce Street 1 Founders
Philadelphia, PA 19104-2640
Phone: (215) 662-2638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD439711 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036118148 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD439711 (PA)

Record details

NPI number1407059710
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESApril 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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