Shah, Poorvi J

Shah, Poorvi J is an individual health care provider with primary practice located at 4003 N Roxboro St , Durham NC 27704-2119. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shah, Poorvi J can be contacted via phone (919) 220-3333.

Contact Information

Primary practice address
4003 N Roxboro St Durham NC 27704-2119
Phone: (919) 220-3333
Fax: (919) 220-6317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2002-00602 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002-00602 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002-00602 North Carolina

Profile Details

NPI number 1538106133
LBN Legal business name Shah, Poorvi J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 22nd, 2010 - about 14 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 1538106133 NPPES
North Carolina Other 13113 BCBS

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