Individual
BIRJU DIPAK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
170 AMENDMENT AVE, ROCK HILL, SC 29732
(803) 324-7607
Mailing address
170 AMENDMENT AVE, ROCK HILL, SC 29732-3073
(803) 324-7607
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
51905
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2011
Last updated
04/29/2019
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