Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wake OBGYN PA

Organization Obstetrics & Gynecology Physician · NPI 1366572091

Wake OBGYN PA provides Obstetrics & Gynecology Physician services in Cary, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

519 Keisler Dr SUITE104
Cary, NC 27511-7098
Phone: (919) 233-8183
Fax: (919) 233-9771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 98-00139 (NC)

Record details

NPI number1366572091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nanda Shah — President · (919) 233-8183
NPI enumeratedMarch 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address519 Keisler Drive, Suite104, Cary, NC 27518-7098

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