Provider Demographics
NPI:1316243207
Name:MERCHANT, SHAHINA RAHIM (MHS, PA -C)
Entity type:Individual
Prefix:
First Name:SHAHINA
Middle Name:RAHIM
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:MHS, PA -C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-721-4740
Mailing Address - Fax:717-738-6872
Practice Address - Street 1:169 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1724
Practice Address - Country:US
Practice Address - Phone:717-721-4740
Practice Address - Fax:717-738-6872
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054829363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP01372052OtherRAILROAD MEDICARE
PA2686821OtherHIGHMARK BLUE SHIELD - FREEDOM BLUE
PA1604869OtherGATEWAY MEDICARE ASSURED
PA1604869OtherGATEWAY HEALTH PLAN
PA233726FLTMedicare PIN