MEDICARE: DR. SHUBHANGI ATUL CHUMBLE 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
1	2084N0400X	Neurology Physician	19705	NH
2	2084N0400X	Neurology Physician	ME120321	FL
3	2084N0400X	Neurology Physician	MD478085	PA

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	WD177	OTHER	FL	HFMG
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881684074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHUBHANGI ATUL CHUMBLE M.D.

Provider Business Mailing Address
First Line	:	11215 METRO PKWY STE 1
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-1206
Country	:	US
Telephone Number	:	239-208-2212
Fax Number	:	321-951-7408

Provider Business Practice Location Address
First Line	:	11215 METRO PKWY STE 1
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-1206
Country	:	US
Telephone Number	:	239-208-2212
Fax Number	:	239-208-3994

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	11/06/2025

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Directions to “ DR. SHUBHANGI ATUL CHUMBLE M.D.” Practice Location

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