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Individual

DR. SHISHIR HASMUKHLAL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
475 PROGRESS BLVD, SILER CITY, NC 27344-6787
(919) 786-6428
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19498
WV
207L00000X
Anesthesiology Physician
2017-00040
NC
208VP0000X
Pain Medicine Physician
19498
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0048586001
WV
Enumeration date
09/14/2005
Last updated
09/18/2024
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