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

Shivam Shah

Individual provider Diagnostic Radiology Physician · NPI 1144640061

Shivam Shah is an Interventional Radiology in Paoli, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Radiology Associates of the Main Line P C, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone: (484) 565-1596
Fax: (610) 889-0813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1249 White Dr, North Brunswick, NJ 08902-1785 — (773) 860-1318

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD472121 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD472121 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144640061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing addressPo Box 678678, Dallas, TX 75267-8678

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Radiology Associates Of The Main Line P C — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

Other providers in Paoli