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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538106133 | NPPES |
| North Carolina | Other | 13113 | BCBS |
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