Individual
DR. AMISHI Y SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-9414
(704) 384-5735
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
(704) 384-1249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2008-01145
NC
2084P0800X
Psychiatry Physician
21871
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218712
—
SC
05
—
89066TT
—
NC
01
—
C7068
MEDCOST
SC
Enumeration date
01/27/2006
Last updated
11/03/2020
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