Individual
TARAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
(864) 271-2147
Mailing address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
(864) 271-2147
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0000000
SC
207RN0300X
Nephrology Physician
83074
SC
Other
Enumeration date
04/02/2014
Last updated
11/03/2023
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