Shah, Sanjay

Shah, Sanjay is an individual health care provider with primary practice located at 1218 Walter Reed Rd , Fayetteville NC 28304-4440. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shah, Sanjay can be contacted via phone (910) 323-1671.

Contact Information

Primary practice address
1218 Walter Reed Rd Fayetteville NC 28304-4440
Phone: (910) 323-1671
Fax: (910) 323-9656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X 9801484 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9801484 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9801484 North Carolina

Profile Details

NPI number 1689604035
LBN Legal business name Shah, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 20th, 2019 - about 5 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 1689604035 NPPES
North Carolina MEDICAID 8911560
North Carolina Other 390007497

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