Individual provider · Type 1 NPI

Valerie Malvern-Brandt Shah, PA

Surgical Physician Assistant · Columbia, SC

NPI number 1083852370 Active

Practice location

14 Richland Medical Park Dr, Suite 200
Columbia, SC 29203-6877

Call (803) 296-9200 Map

Fax (803) 296-9297

Mailing address

PO Box 22265
Belfast, ME 04915-4473

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XMA056652 (PA)
Surgical Physician Assistant 363AS0400X0110002597 (VA)
Surgical Physician Assistant Primary 363AS0400X2550 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1083852370

Valerie Malvern-Brandt Shah, PA's National Provider Identifier is 1083852370, issued on Jan 26, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, SC. The record was last updated on Mar 9, 2018.