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NPI Code Detail

MEDICARE: NIRMISH SHAH MD

MEDICARE: NIRMISH 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
1207R00000XInternal Medicine Physician200500111NC

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 : 1033113899
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRMISH SHAH MD
Provider Business Mailing Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number : 252-752-6600
Provider Business Practice Location Address
First Line : 3643 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2702
Country : US
Telephone Number : 919-470-8490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/25/2008

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Directions to “ NIRMISH SHAH MD” Practice Location

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