SearchPennsylvania207RX0202X

Elena Shagisultanova, MD, PHD

NPI 1720365760 · on the registry since 2011

Practice

Address
1101 Chestnut St Fl 14
Philadelphia, PA 19107
Phone
(215) 955-8874
Fax
(215) 955-2340
Organisation at this address
Jeffex, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
112

Additional practice sites

  • 1665 Aurora Ct, Aurora, CO
  • 12605 E 16th Ave, Aurora, CO

Registry record

Primary taxonomy
207RX0202X
207RX0202X
Also registered as
207R00000X
207R00000X
207RH0003X
207RX0202X
Licence states on file
CA, PA, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania