Individual
MEGHANA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
645 S SEVENTH ST, MC BEE, SC 29101-7101
(843) 335-8291
(843) 335-8731
Mailing address
645 S SEVENTH ST, MC BEE, SC 29101-7101
(843) 335-8291
(843) 335-8731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325473
—
SC
01
—
6502
MEDICARE GROUP
SC
01
—
7153
MEDICARE GROUP
SC
01
—
GP2826
GROUP MEDICAID
SC
01
—
GP4306
GROUP MEDICAID
SC
Enumeration date
06/22/2007
Last updated
10/03/2011
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