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General NPI Number Information
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NPI Number | 1952475592
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Entity Type | Individual
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Provider Name | LALIT K SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 4725 N FEDERAL HWY NICU 2ND FLOOR HOLY CROSS HOSPITAL
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 954-776-3151
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Fax | 954-958-4853
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax | 954-958-4853
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME0053262
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License Number State | FL
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