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

Rudra Shah

Individual provider Pediatric Nurse Practitioner · NPI 1053014118

Rudra Shah is a Pediatric Nurse Practitioner in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone: (336) 272-1050
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5017865 (NC)

Record details

NPI number1053014118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 25, 2023

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