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Individual

PRAHAR SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL STE 100, RALEIGH, NC 27607-7505
(984) 215-6950
(984) 215-6951
Mailing address
4420 LAKE BOONE TRL STE 100, RALEIGH, NC 27607-7505

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2025-03006
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2025-03006
NC

Other

Enumeration date
04/10/2020
Last updated
11/18/2025
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