Soraya, PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

31626 Issued in SC

Legal business name

SORAYA, PA

Practice address

25 Appian Cir
Simpsonville, SC 29681-3654

Phone

(864) 254-9487

Fax

(864) 254-9487

NPI assigned

Aug 5, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Romin Bharat Shah, MDNPI 1851417729

Title

Owner

Phone

(864) 254-9487

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Romin Shah, M.D.

  • Internal Medicine Physician
  • York, SC
  • NPI 1851417729

  Geriatric Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1235443938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GLOBAL DR",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074628",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 APPIAN CIR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813654",
            "telephone_number": "864-254-9487",
            "fax_number": "864-254-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ROMIN",
        "authorized_official_middle_name": "BHARAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-254-9487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "31626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kaysten Sorenson
• Samuel Don Antonio Arciga Sotelo III, DPT
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• Geriatric Medicine (Internal Medicine) Physician in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Geriatric Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.