Shah, Rutul

Shah, Rutul is an individual health care provider with primary practice located at 150 Kingsley Ln , Norfolk VA 23505-4602. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shah, Rutul can be contacted via phone (757) 484-5900.

Contact Information

Primary practice address
150 Kingsley Ln Norfolk VA 23505-4602
Phone: (757) 484-5900
Fax: (757) 483-6671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 32541 South Carolina

Profile Details

NPI number 1881899557
LBN Legal business name Shah, Rutul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Mar 18th, 2020 - about 5 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 1881899557 NPPES
South Carolina Other GP4306 MEDICAID GROUP
South Carolina MEDICAID 325419 MEDICAID GROUP
South Carolina Other GP3912 MEDICAID GROUP
South Carolina Other PO1162145 MEDICAID GROUP

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