Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 57.013619 | OH |
N | 208600000X | Surgeon | 57.013619 | OH |
Y | 2086X0206X | Surgical Oncologist | 2012-01027 | NC |
NPI | 1255508107 |
---|---|
Provider Name | Dr. Kevin Naresh Shah |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27710-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 13/07/2012 |