Individual
MANZOOR ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 SUNSET BLVD # 203, WEST COLUMBIA, SC 29169-5914
(888) 851-3677
Mailing address
1304 SUNSET BLVD # 203, WEST COLUMBIA, SC 29169-5914
(888) 851-3677
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
0000
AZ
Other
Enumeration date
04/30/2021
Last updated
05/30/2021
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