Individual
DR. SANJAY BACHUBHAI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 323-8594
(910) 323-5795
Mailing address
PO BOX 53844, FAYETTEVILLE, NC 28305-3844
(910) 323-8594
(910) 323-5795
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101231352
VA
207L00000X
Anesthesiology Physician
200100955
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200100955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129TP
BLUE CROSS BLUE SHIELD
NC
01
—
50081422
RAILROAD MEDICARE
NC
05
—
89129TP
—
NC
Enumeration date
09/26/2006
Last updated
02/16/2026
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