Individual
SHREENA GAURANG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01662
NC
207R00000X
Internal Medicine Physician
OT018624
PA
390200000X
Student in an Organized Health Care Education/Training Program
254004
NC
Other
Enumeration date
06/10/2018
Last updated
11/24/2021
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