Individual
DR. GOPI Y SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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