Individual
VIPUL INDULAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1203 E CHEVES ST, FLORENCE, SC 29506-2711
(843) 777-5601
(843) 777-5135
Mailing address
1203 E CHEVES ST, FLORENCE, SC 29506-2711
(843) 777-2564
(843) 537-2262
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
31225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246527
UNISON
SC
01
—
064
BLUECHOICE
SC
01
—
211192
MEDCOST
SC
05
—
312254
—
SC
05
—
5910037
—
NC
01
—
9690217
AETNA
SC
01
—
AA30388552
MEDICARE PTAN
SC
Enumeration date
05/14/2007
Last updated
12/04/2023
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