Individual
DISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N CENTER ST STE 300, HICKORY, NC 28601-5036
(828) 328-3300
(828) 328-9101
Mailing address
415 N CENTER ST STE 300, HICKORY, NC 28601-5036
(828) 328-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290529
NY
207RG0100X
Gastroenterology Physician
Primary
2021-02253
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
09/03/2021
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