Provider Demographics
NPI:1366488793
Name:SHAH, SHILPA R (MD)
Entity Type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:R
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:413 PALAFOX DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-1173
Mailing Address - Country:US
Mailing Address - Phone:919-923-2750
Mailing Address - Fax:919-956-4507
Practice Address - Street 1:413 PALAFOX DRIVE
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516
Practice Address - Country:US
Practice Address - Phone:919-923-2750
Practice Address - Fax:919-956-4507
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301286208000000X
GA043477208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89137W9Medicare ID - Type Unspecified
37BBFDPMedicare ID - Type Unspecified
G72534Medicare UPIN