Individual
DR. SIDHARTH ANIL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607-6477
(919) 787-5380
Mailing address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607-6477
(919) 787-5380
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2007-01077
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2007-01077
NC
Other
Enumeration date
04/17/2007
Last updated
02/22/2023
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