Individual
POORVI J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4020 N ROXBORO ST STE 100, DURHAM, NC 27704-2120
(919) 220-3333
(919) 220-6317
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
(919) 220-3333
(919) 220-6317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002-00602
NC
207R00000X
Internal Medicine Physician
Primary
2002-00602
NC
208000000X
Pediatrics Physician
2002-00602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13113
BCBS
NC
Enumeration date
06/01/2006
Last updated
06/09/2025
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