Healthcare Provider Details

I. General information

NPI: 1265055792
Provider Name (Legal Business Name): NIRZARI AASHIN SHAH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 OLD LEXINGTON RD
THOMASVILLE NC
27360-3428
US

IV. Provider business mailing address

PO BOX 60447 FORBES TOWER - PLAZA LEVEL SUITE 140
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 336-474-4780
  • Fax: 336-718-8941
Mailing address:
  • Phone: 336-474-4780
  • Fax: 336-718-8941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2026-03954
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: