Shah Osteopathy, Pllc | |
2040 Brevard Rd High Point NC 27263-1702 | |
(630) 730-4866 | |
Not Available |
Full Name | Shah Osteopathy, Pllc |
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Speciality | Internal Medicine |
Location | 2040 Brevard Rd, High Point, North Carolina |
Authorized Official Name and Position | Pratik Shah (PHYSICIAN) |
Authorized Official Contact | 6307304866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shah Osteopathy, Pllc 5304 Sequoia Ct Greensboro NC 27455-2184 Ph: (630) 730-4866 | Shah Osteopathy, Pllc 2040 Brevard Rd High Point NC 27263-1702 Ph: (630) 730-4866 |
NPI Number | 1285306852 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 10/01/2021 |
Medicare PECOS PAC ID | 7517356090 |
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Medicare Enrollment ID | O20211123001148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285306852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Pratik Dilip Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144589466 PECOS PAC ID: 3870711617 Enrollment ID: I20181211003393 |
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