NPI Code Details Logo

NPI 1720098544

NPI 1720098544 : MILIND SHASTRI M.D. : INVERNESS, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720098544
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MILIND SHASTRI M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/08/2006
-----------------------------------------------------
    Last Update Date     |    01/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2315 HIGHWAY 41 N 
-----------------------------------------------------
    City                 |    INVERNESS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34453-2454
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-480-0560
-----------------------------------------------------
    Fax                  |    352-480-0565
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14690 SPRING HILL DR STE 305 
-----------------------------------------------------
    City                 |    SPRING HILL
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34609-8102
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-277-5348
-----------------------------------------------------
    Fax                  |    352-606-2857
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    ME78967
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.