Individual
POOJA SUNIL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5260
(704) 210-5265
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-03514
NC
207R00000X
Internal Medicine Physician
63625
TN
207R00000X
Internal Medicine Physician
MT215816
PA
207RH0003X
Hematology & Oncology Physician
63625
TN
208M00000X
Hospitalist Physician
2024-03514
NC
208M00000X
Hospitalist Physician
63625
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068168
—
TN
Enumeration date
06/05/2018
Last updated
12/23/2025
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