VALERIE MALVERN-BRANDT SHAH PA NPI 1083852370

NPI Information

NPI: 1083852370
Provider Name: VALERIE MALVERN-BRANDT SHAH, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
14 RICHLAND MEDICAL PARK DR
SUITE 200
COLUMBIA, SC
ZIP 29203
Phone: (803) 296-9200
Get Directions

Valerie Malvern-brandt Shah, PA is a surgical physician assistant in Columbia, SC. Valerie Malvern-brandt Shah, PA NPI is 1083852370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 RICHLAND MEDICAL PARK DR
SUITE 200
COLUMBIA, SC
ZIP 29203-877
Phone: (803) 296-9200
Fax: (803) 296-9297

The NPI 1083852370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 3/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA056652	PENNSYLVANIA	No
2	363AS0400X	Physician Assistant	Surgical	0110002597	VIRGINIA	No
3	363AS0400X	Physician Assistant	Surgical	2550	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2832PA	MEDICAID	SOUTH CAROLINA
2	1083852370	OTHER	VIRGINIA	MEDICARE
3	1083852370	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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