Individual
RAJIV NILESCHANDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SUMMERVILLE MEDICAL CENTER, 295 MIDLAND PKWY, SUMMERVILLE, SC 29485
(843) 970-5810
Mailing address
9946 NICOLE LN, CHARLOTTE, NC 28269-6259
(224) 247-8830
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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