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Individual

DR. ROMIN SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1736 OLD YORK RD, YORK, SC 29745-9458
(803) 818-6955
(803) 818-6993
Mailing address
1736 OLD YORK RD, YORK, SC 29745-9458
(803) 818-6955
(803) 818-6993

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31626
SC
207R00000X
Internal Medicine Physician
57010107
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
TL31626
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
316269
SC
05
GP3988
SC
Enumeration date
03/22/2007
Last updated
10/02/2014
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