Shah, Pankajkumar C

Shah, Pankajkumar C is an individual health care provider with primary practice located at 320 W 18Th St , Hopkinsville KY 42240-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Pankajkumar C can be contacted via phone (270) 887-0100.

Contact Information

Primary practice address
320 W 18Th St Hopkinsville KY 42240-1965
Phone: (270) 887-0100
Fax: (270) 887-0342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40815 Kentucky

Profile Details

NPI number 1043412356
LBN Legal business name Shah, Pankajkumar C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Dec 11th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043412356 NPPES
Kentucky Other 000000526170 ANTHEM BCBS
Kentucky MEDICAID 7100016400 ANTHEM BCBS

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