MEDICARE: DR. SHAHEEN H PIRANI 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
1	208D00000X	General Practice Physician	ME83618	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	E6769X	OTHER	FL	MEDICARE TYPE - UNSPECIFIED
4	P00909732	OTHER	FL	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	37280	OTHER	FL	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861407504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHEEN H PIRANI MD

Provider Business Mailing Address
First Line	:	14690 SPRING HILL DR STE 101
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-8102
Country	:	US
Telephone Number	:	352-799-0046
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	1801 S 23RD ST
Second Line	:	SUITE 9
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4830
Country	:	US
Telephone Number	:	772-465-4220
Fax Number	:	772-465-4251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. SHAHEEN H PIRANI MD” Practice Location

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