Provider Demographics
NPI:1760010094
Name:SHAH, PREEYA TUSHAR (MD)
Entity type:Individual
Prefix:
First Name:PREEYA
Middle Name:TUSHAR
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2238 NELSON HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8914
Mailing Address - Country:US
Mailing Address - Phone:919-401-1994
Mailing Address - Fax:919-401-1924
Practice Address - Street 1:1301 CASTLEPOINTE DR
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-4351
Practice Address - Country:US
Practice Address - Phone:984-849-4328
Practice Address - Fax:919-763-1380
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2024-02348207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology