Quantum Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QUANTUM MEDICAL GROUP LLC

Practice address

1040 Edgewater Corporate Pkwy
Indian Land, SC 29707-4514

Phone

(704) 763-5117

NPI assigned

Jan 7, 2025

Organization subpart

No

Name

Amit ShahNPI 1740288323

Title

Sole Proprietor

Phone

(704) 763-5117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amit G Shah, MD

  • Internal Medicine Physician
  • Indian Land, SC
  • NPI 1740288323

  Internal Medicine

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2025.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1154130870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074514",
            "telephone_number": "704-763-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "704-763-5117"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Preston, CRNP
• Albert Anthony Primavera Jr., DMD
• Publix Super Markets Inc
• Olivia Kathryn Pyles
• QC Investments, LLC
• Christina Grace Quarterman, DDS
• Renisha Rabara
• Alicia Shute Reams, MD
• Redstone Modern Dentistry, PC
• Relife Pro Corporation

• All providers in Indian Land, SC
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.