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1679069538 NPI number — RONAK RAKESH SHAH DO

NPI Number: 1679069538
Health Care Provider/Practitioner: RONAK RAKESH SHAH DO

Information about “1679069538” NPI (RONAK RAKESH SHAH DO) exists in 1679069538 in HTML format HTML  |  1679069538 in plain Text format TXT  |  1679069538 in PDF (Portable Document Format) PDF  |  1679069538 in an XML format XML  formats.

NPI Number : 1679069538 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679069538",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAH",
    "FirstName": "RONAK",
    "MiddleName": "RAKESH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7351 W OAKLAND PARK BLVD STE 106",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMARAC",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33319-7107",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "954-578-2783",
    "FirstLinePracticeLocationAddress": "8200 W SUNRISE BLVD BLDG C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANTATION",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33322-5426",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-370-8585",
    "PracticeLocationAddressFaxNumber": "954-370-1585",
    "EnumerationDate": "07/03/2018",
    "LastUpdateDate": "09/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RX0202X",
          "TaxonomyName": "Medical Oncology Physician",
          "LicenseNumber": "011203",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "OS19424",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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