Doctor Name: | DR. ABHISHEK RAJEN SHAH |
NPI Number: | 1144617598 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 21773167 |
Business Practice Address: | 1906 Belleview Avenue Se Carilion Roanoke Hospital, Roanoke, VA - 24014 |
Business Phone Number: | 5409817000 |
Business Fax Number: | |
Mailing Address: | 309 Silent Meadow Court, WAXHAW |
State: | NC |
Postal Code: | 28173 |
Phone Number: | 7047379692 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 21773167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |