person
Dr. Bhairav V Shah, MD
Pediatric Surgery Physician in Columbia, South Carolina
NPI 1699937219

Bhairav V Shah is a Pediatric Surgery Physician based in Atlanta, SC and is specialized in Pediatric Surgery. Bhairav V Shah practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Bhairav V Shah is 1699937219 and holds a License No. 0116019711 (South Carolina).

The current practice location address for Bhairav V Shah is 9 Richland Medical Park Dr Ste 500, Columbia, SC and can be reached out via phone at 803-434-4555 and via fax at 803-434-4599. You can also correspond with Bhairav V Shah through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-296-7320).

Location: 9 Richland Medical Park Dr Ste 500, Columbia, SC, 30374-3904
person
Provider Profile Details
NPI Number
1699937219
Provider Name
Bhairav V Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9 Richland Medical Park Dr Ste 500, Columbia, SC, 30374-3904
Phone Number
803-434-4555
Fax Number
803-434-4599
Provider Enumeration Date
06/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398527 05 SC
institution
Provider Business Practice Location Address Details
Address
9 Richland Medical Park Dr Ste 500
City
State
Zip
29203-6870
Phone Number
803-434-4555
Fax Number
803-434-4599
person
Provider Business Mailing Address Details
Address
Po Box 743904
City
State
Zip
30374-3904
Phone Number
803-296-7320
Fax Number
803-296-7330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
39852 (South Carolina)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0116019711 (Virginia)
Definition
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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