IndividualActive
Azhar Shah, DO
NPI 1255837654 · Internal Medicine Physician · Portland, ME
Provider details
- NPI number
- 1255837654
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS022220 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-0111
Approximate (ZIP-level) locationGet directions
Mailing address
51 N 39th St
Philadelphia, PA 19104-2640
Additional practice locations (1)
- 46 Fairview AveSkowhegan, ME 04976-1481Phone: (207) 474-5121
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.