Individual
DR. PRATIK DILIP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-3890
Mailing address
1202 DEERFIELD DR, REIDSVILLE, NC 27320-8353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116024036
VA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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