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Basil Shah, MD
Diagnostic Radiology Physician in Winston Salem, North Carolina
NPI 1679684872

Basil Shah is a Diagnostic Radiology Physician based in Winston Salem, NC and is specialized in Diagnostic Radiology. Basil Shah practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Basil Shah is 1679684872 and holds a License No. 4301077845 (North Carolina).

The current practice location address for Basil Shah is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-7243 and via fax at 367-167-4323.

Location: Medical Center Blvd, Winston Salem, NC, 27157-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679684872
Provider Name
Basil Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27157-0001
Phone Number
336-716-7243
Fax Number
367-167-4323
Provider Enumeration Date
08/31/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107229 01 LA AL MEDICAID
00188398 01 MS MEDICAID
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-7243
Fax Number
367-167-4323
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-7243
Fax Number
367-167-4323
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2020-02857 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
22774 (Mississippi)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
22774 (Mississippi)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
4301077845 (Michigan)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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