# ANSAL SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861767733
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 37267 | SC | — |
| 207R00000X | Internal Medicine Physician | MD446549 | PA | — |
| 207RI0200X | Infectious Disease Physician | 37267 | SC | Yes |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 03/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37267 | MEDICAL LICENSE | SC |
| 05 | — | 372670 | — | SC |