Shah, Amishi Y

Shah, Amishi Y is an individual health care provider with primary practice located at 200 Hawthorne Ln , Charlotte NC 28204-2515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shah, Amishi Y can be contacted via phone (704) 384-9414.

Contact Information

Primary practice address
200 Hawthorne Ln Charlotte NC 28204-2515
Phone: (704) 384-9414
Fax: (704) 384-5735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21871 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2008-01145 North Carolina

Profile Details

NPI number 1275504474
LBN Legal business name Shah, Amishi Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275504474 NPPES
North Carolina MEDICAID 89066TT
North Carolina MEDICAID 218712
North Carolina Other C7068

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