Individual
DR. BHAIRAV V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 500, COLUMBIA, SC 29203-6870
(803) 434-4555
(803) 434-4599
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
39852
SC
2086S0120X
Pediatric Surgery Physician
MD453016
PA
390200000X
Student in an Organized Health Care Education/Training Program
0116019711
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398527
—
SC
Enumeration date
06/25/2008
Last updated
06/25/2021
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