| S M Shah Md Pa | |
|
2500 Blue Ridge Rd Suite 321 Raleigh NC 27607-6469 | |
| (919) 787-5340 | |
| (919) 787-5048 |
| Full Name | S M Shah Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Blue Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Syed M Shah (PRESIDENT) |
| Authorized Official Contact | 9197875340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S M Shah Md Pa 2500 Blue Ridge Rd Suite 321 Raleigh NC 27607-6469 Ph: (919) 787-5340 | S M Shah Md Pa 2500 Blue Ridge Rd Suite 321 Raleigh NC 27607-6469 Ph: (919) 787-5340 |
| NPI Number | 1952616880 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 3274658059 |
|---|---|
| Medicare Enrollment ID | O20100916000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952616880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831298405 PECOS PAC ID: 0042335762 Enrollment ID: I20100917000199 |
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