Individual
JAGDISH VALLABHDAS SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 PIEDMONT BLVD, ROCK HILL, SC 29732-1836
(704) 842-6467
(704) 854-4235
Mailing address
9715 BAILEYWICK RD, CHARLOTTE, NC 28277-2485
(704) 277-2663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17315
SC
Other
Enumeration date
03/24/2006
Last updated
07/21/2022
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