Shah, Bhairav V
Shah, Bhairav V is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 500 , Columbia SC 29203-6870. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Shah, Bhairav V can be contacted via phone (803) 434-4555.Contact Information
Primary practice address
9 Richland Medical Park Dr Ste 500
Columbia SC 29203-6870
Phone: (803) 434-4555
Fax: (803) 434-4599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116019711 | Virginia |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 39852 | South Carolina |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MD453016 | Pennsylvania |
Profile Details
NPI number | 1699937219 |
---|---|
LBN Legal business name | Shah, Bhairav V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 25th, 2008 |
Last updated | Jun 25th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699937219 | NPPES |
South Carolina | MEDICAID | 398527 |
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