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Individual

DR. PARINAZ R SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
109 C FLEETWOOD DRIVE, EASLEY, SC 29640-2019
(864) 850-0700
(864) 850-0705
Mailing address
109 C FLEETWOOD DRIVE, EASLEY, SC 29640-2019
(864) 850-0700
(864) 850-0705

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1662
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1662
SC MEDICAL LICENSE
SC
Enumeration date
09/20/2011
Last updated
09/20/2011
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