Individual
AMIT G SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 EDGEWATER CORP PKWY STE 101, INDIAN LAND, SC 29707-4514
(803) 548-7007
(803) 802-2015
Mailing address
1040 EDGEWATER CORP PKWY STE 101, INDIAN LAND, SC 29707-4514
(803) 548-7007
(803) 802-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20170
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T42040
—
SC
Enumeration date
07/08/2005
Last updated
01/20/2016
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