Individual
MRS. AVANI SARUP SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1829 E FRANKLIN ST, BLDG. # 600, CHAPEL HILL, NC 27514-5861
(919) 968-3456
(919) 932-3456
Mailing address
8705 POTEAT DR, WAKE FOREST, NC 27587-4353
(919) 968-3456
(919) 932-3456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7248
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067X8
BLUE CROSS
NC
05
—
7412562
—
NC
Enumeration date
01/16/2007
Last updated
07/09/2007
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