Individual
DR. PRIYANK PANKAJKUMAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1640 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 226-0500
(704) 226-0599
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 226-0500
(704) 226-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023-01353
NC
207RC0000X
Cardiovascular Disease Physician
075366
GA
207RC0000X
Cardiovascular Disease Physician
Primary
2023-01353
NC
Other
Enumeration date
07/09/2010
Last updated
07/04/2023
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