| Physician Last Name: | Shah |
| Physician First Name: | Chandrakant |
| Physician Middle Name: | C |
| Address: | RD 1 Box 132J
Mertstown, Pennsylvania 15939 |
| License Number: | 139754 |
| License Type: | MD |
| Year of Birth: |
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| Effective Date: | 01/03/1995 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician admitted to having been disciplined by the Pennsylvania State Board of Medicine for allowing a practical nurse to perform X-ray and radiology procedures without a proper license. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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