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

Soroush Vahdati-Shams, PA-C

Individual provider Physician Assistant · NPI 1477375491

Soroush Vahdati-Shams, PA-C is a Physician Assistant in Prospect Hill, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

322 Main St
Prospect Hill, NC 27314-9438
Phone: (336) 562-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16270 (NC)

Record details

NPI number1477375491
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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