Individual
GAURAV MUKESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 CAMERON VALLEY PKWY, STE 3500, CHARLOTTE, NC 28211-4369
(704) 302-8300
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022-02200
NC
207RH0000X
Hematology (Internal Medicine) Physician
2022-02200
NC
207RX0202X
Medical Oncology Physician
2022-02200
NC
Other
Enumeration date
04/14/2016
Last updated
09/25/2025
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