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NPI Code Detail

MEDICARE: DR. SHISHIR HASMUKHLAL SHAH MD

MEDICARE: DR. SHISHIR HASMUKHLAL SHAH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician19498WV
2207L00000XAnesthesiology Physician2017-00040NC
3207L00000XAnesthesiology Physician19498WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831184969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHISHIR HASMUKHLAL SHAH MD
Provider Business Mailing Address
First Line : 2000 EOFF ST
Second Line :
City : WHEELING
State : WV
Zip : 26003-3823
Country : US
Telephone Number : 304-234-8663
Fax Number : 304-234-8960
Provider Business Practice Location Address
First Line : 475 PROGRESS BLVD
Second Line :
City : SILER CITY
State : NC
Zip : 27344-6787
Country : US
Telephone Number : 919-786-6428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 09/18/2024

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