Individual
DR. PRIYAVADAN MANEKLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 KEISLER DR, SUITE 204, CARY, NC 27511-7083
(919) 233-0059
(919) 233-0343
Mailing address
300 KEISLER DR, SUITE 204, CARY, NC 27511-7083
(919) 233-0059
(919) 233-0343
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110004188
RAILROAD MEDICARE
—
01
—
2550135
UNITED HEALTHCARE
—
01
—
30583
MEDCOST
—
01
—
75390
NC BLUE CROSS BLUE SHIELD
NC
01
—
761782
CIGNA HEALTHCARE
—
05
—
8975390
—
NC
Enumeration date
10/07/2005
Last updated
04/08/2021
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