Individual
SURAJ PRAVIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
850 S MAIN ST, HOLLY SPRINGS, NC 27540-8906
(919) 784-7093
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-00078
NC
207R00000X
Internal Medicine Physician
31873
AL
208M00000X
Hospitalist Physician
Primary
2018-00078
NC
Other
Enumeration date
06/26/2009
Last updated
08/07/2022
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