Individual
RAVI S. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
1237 HARDING PLACE, CHARLOTTE, NC 28204
(704) 373-0212
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2024-01915
NC
208000000X
Pediatrics Physician
264543
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2015
Last updated
12/30/2024
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