Individual
DR. VIPUL CHANDRAHAS SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1632 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 295-3725
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2013-01062
NC
207W00000X
Ophthalmology Physician
ME101111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000569500
—
FL
Enumeration date
04/12/2007
Last updated
03/31/2021
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