Individual provider · Type 1 NPI

Pavani Thotakura Shah, MD

Diagnostic Radiology Physician · Greenville, SC

NPI number 1689920464 Active

Practice location

1210 W Faris Rd
Greenville, SC 29605-4444

Call (864) 522-1800 Map

Fax (864) 522-1806

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • Wake Forest Baptist Health House Staff Ofc, Medical Center Blvd., Winston Salem, NC 27157-0001 · (336) 716-3465

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X125.060992 (IL)
Diagnostic Radiology Physician 2085R0202X2017-01250 (NC)
Diagnostic Radiology Physician Primary 2085R0202X82380 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1689920464

Pavani Thotakura Shah, MD's National Provider Identifier is 1689920464, issued on Jul 30, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Greenville, SC. The record was last updated on Dec 7, 2022.