Individual
PARESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6849
(803) 434-6301
(803) 936-0003
Mailing address
PO BOX 11400, COLUMBIA, SC 29211
(803) 434-6301
(803) 936-0003
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
8152
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2167
—
SC
Enumeration date
08/31/2006
Last updated
07/08/2007
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