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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1699937219 NPPES
South Carolina MEDICAID 398527

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