Individual
DR. KESHA DESAI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 BLUE RIDGE RD STE 100, RALEIGH, NC 27612-8087
(919) 781-1437
(919) 787-4870
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 256-3576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29983
SC
2085R0202X
Diagnostic Radiology Physician
Primary
2012-00690
NC
2085R0202X
Diagnostic Radiology Physician
29983
SC
Other
Enumeration date
06/18/2007
Last updated
05/17/2021
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