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NPI Code Detail

MEDICARE: VIPULKUMAR BHOGILAL SHAH M.D.

MEDICARE: VIPULKUMAR BHOGILAL SHAH M.D.
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
1207RC0000XCardiovascular Disease Physician23860SC

General Provider Information

NPI Number : 1841246584
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIPULKUMAR BHOGILAL SHAH M.D.
Provider Business Mailing Address
First Line : 1029 W MEETING ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2205
Country : US
Telephone Number : 803-285-2041
Fax Number :
Provider Business Practice Location Address
First Line : 1029 W MEETING ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2205
Country : US
Telephone Number : 803-285-2041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 06/30/2011

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