Individual
DR. GOPI Y SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR, SUITE 300, COLUMBIA, SC 29203-8005
(803) 256-6511
(803) 744-4731
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20171
SC
207RI0011X
Interventional Cardiology Physician
Primary
20171
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20171
SC LICENSE
SC
05
—
201711
—
SC
Enumeration date
07/18/2005
Last updated
10/02/2019
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