Individual
DR. DEEPAK BHAGWATIAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 W MEETING ST, LANCASTER, SC 29720-2205
(803) 285-2041
Mailing address
1029 W MEETING ST, LANCASTER, SC 29720-2205
(803) 285-2041
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18454
SC
Other
Enumeration date
05/25/2006
Last updated
06/30/2011
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