Individual
MR. DIPEN R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
431 KEISLER DR STE 100, CARY, NC 27518-7064
(919) 468-6820
(919) 468-6484
Mailing address
431 KEISLER DR STE 100, CARY, NC 27518-7064
(919) 468-6820
(919) 468-6484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200500255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14063
BCBS
—
05
—
5902201
—
NC
Enumeration date
05/16/2006
Last updated
06/27/2024
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