Individual
PRANAV SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSED
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4238
(215) 662-3797
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(215) 662-3797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
87520
SC
207R00000X
Internal Medicine Physician
Primary
MD467473
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/12/2016
Last updated
09/30/2022
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