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NPI Code Detail

MEDICARE: DR. SYED HADI SHAH MD

MEDICARE: DR. SYED HADI SHAH MD
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
1207QS0010XSports Medicine (Family Medicine) PhysicianME108175FL

General Provider Information

NPI Number : 1720281058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED HADI SHAH MD
Provider Business Mailing Address
First Line : 6920 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3931
Country : US
Telephone Number : 813-212-1120
Fax Number : 813-412-8404
Provider Business Practice Location Address
First Line : 6920 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3931
Country : US
Telephone Number : 813-212-1120
Fax Number : 813-412-8404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 09/24/2025

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