Individual
VISHAL UMED SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 82ND PARKWAY, GME OFFICE, MYRTLE BEACH, SC 29572
(843) 692-1752
(843) 692-1904
Mailing address
809 82ND PARKWAY, GME OFFICE, MYRTLE BEACH, SC 29572
(843) 692-1752
(843) 692-1904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101272101
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
07/08/2021
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