Individual provider · Type 1 NPI

Supriya A. Shah, MD

Student in an Organized Health Care Education/Training Program · Greenville, SC

NPI number 1689168460 Active

Practice location

877 W Faris Rd
Greenville, SC 29605-4289

Call (864) 455-9022 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLL52600 (SC)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1689168460

Supriya A. Shah, MD's National Provider Identifier is 1689168460, issued on Jun 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, SC. The record was last updated on Jun 15, 2018.