Individual
ASHISH C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 THOMPSON ST, EDEN, NC 27288-5045
(336) 627-4896
(336) 627-0139
Mailing address
405 THOMPSON ST, EDEN, NC 27288-5045
(336) 627-4896
(336) 627-0139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145A
BCBS NC INDIVIDUAL #
NC
05
—
891145A
—
NC
Enumeration date
09/20/2006
Last updated
07/09/2007
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