Shah, Sanjay Bachubhai

Shah, Sanjay Bachubhai is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Shah, Sanjay Bachubhai can be contacted via phone (910) 323-8594.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Phone: (910) 323-8594
Fax: (910) 323-5795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200100955 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 200100955 North Carolina

Profile Details

NPI number 1073614400
LBN Legal business name Shah, Sanjay Bachubhai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 8th, 2007 - about 17 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 1073614400 NPPES
North Carolina MEDICAID 89129TP
North Carolina Other 129TP
North Carolina Other 50081422
North Carolina Other 129TP

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