Shah, Amit G
Shah, Amit G is an sole proprietor health care provider with primary practice located at 1040 Edgewater Corp Pkwy Ste 101 , Indian Land SC 29707-4514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Amit G can be contacted via phone (803) 548-7007.Contact Information
Primary practice address
1040 Edgewater Corp Pkwy Ste 101
Indian Land SC 29707-4514
Phone: (803) 548-7007
Fax: (803) 802-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20170 | South Carolina |
Profile Details
| NPI number | 1740288323 |
|---|---|
| LBN Legal business name | Shah, Amit G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 20th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740288323 | NPPES |
| South Carolina | MEDICAID | T42040 |
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