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

Pavani Thotakura Shah, MD

Individual provider Internal Medicine Physician · NPI 1689920464

Pavani Thotakura Shah, MD is a Diagnostic Radiology in Greenville, South Carolina. Qualified in 2012, 14 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, North Carolina and South Carolina.

Years since qualifying
14
Licensed in
IL, NC, SC
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1210 W Faris Rd
Greenville, SC 29605-4444
Phone: (864) 522-1800
Fax: (864) 522-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Wake Forest Baptist Health House Staff Ofc, Winston Salem, NC 27157-0001 — (336) 716-3465

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 82380 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.060992 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2017-01250 (NC)

Record details

NPI number1689920464
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 30, 2012
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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