Individual
ROSHAN SURESHCHANDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3980 HIGHWAY 9 E STE 340, LITTLE RIVER, SC 29566-8165
(843) 390-8302
(843) 390-8315
Mailing address
506 E CHEVES ST STE 202, FLORENCE, SC 29506-2616
(843) 390-8302
(843) 390-8315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11088200
NJ
207R00000X
Internal Medicine Physician
Primary
94653
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
08/11/2025
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