Individual
NIRMISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8490
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-6101
(252) 752-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200500111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900076
—
NC
Enumeration date
06/09/2005
Last updated
11/25/2008
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