Shah, Misty A
Shah, Misty A is an sole proprietor health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Shah, Misty A can be contacted via phone (864) 522-3700.Contact Information
Primary practice address
7 Independence Pt Ste 300
Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 88438 | South Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 88438 | South Carolina |
Profile Details
| NPI number | 1750818027 |
|---|---|
| LBN Legal business name | Shah, Misty A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2017 |
| Last updated | Dec 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750818027 | NPPES |
| South Carolina | MEDICAID | 884387 |
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