Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wake OBGYN PA

Organization Obstetrics & Gynecology Physician · NPI 1366572091

Wake OBGYN PA is an Obstetrics & Gynecology Physician 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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