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NPI Code Detail

MEDICARE: AJIT SHAH M.D.

MEDICARE:   AJIT  SHAH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianME96817FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083617229
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJIT SHAH M.D.
Provider Business Mailing Address
First Line : 10069 HART BRANCH CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32832-5913
Country : US
Telephone Number : 407-282-8243
Fax Number :
Provider Business Practice Location Address
First Line : 10069 HART BRANCH CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32832-5913
Country : US
Telephone Number : 407-282-8243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/28/2013

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Directions to “ AJIT SHAH M.D.” Practice Location

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