National Provider Identifier Database

VALERIE M SHAH, PA – NPI #1083852370
Surgical


Contact Information

VALERIE M SHAH, PA
14 RICHLAND MEDICAL PARK DR
SUITE 200
COLUMBIA, SC29203-6877
Phone: 803-296-9200
Fax: 803-296-9297
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for VALERIE M SHAH

NPI Number 1083852370
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/26/2009
Last updated 03/09/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • PA License #: MA056652
  • SC License #: 2550
  • VA License #: 0110002597
  • SC Medicaid: 2832PA
  • VA Medicaid: 1083852370
  • VA Other: 1083852370 MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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