Individual
DR. DEVENDRA C. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 W ROOSEVELT BLVD, MONROE, NC 28110-2818
(704) 296-6200
(704) 296-4669
Mailing address
284 EXECUTIVE PARK ROAD, STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
94-01028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2086026
2086026
NC
05
—
791127U
—
NC
05
—
8955414
—
NC
01
—
C3258-B0775
MEDCOST
NC
Enumeration date
09/26/2005
Last updated
12/20/2024
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