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NPI Code Detail

MEDICARE: SHALIN SHAH M.D.

MEDICARE: SHALIN SHAH 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
1207RC0000XCardiovascular Disease Physician01060740IN
2207RC0001XClinical Cardiac Electrophysiology Physician01060740IN
3207RC0000XCardiovascular Disease PhysicianME97804FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124098249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALIN SHAH M.D.
Provider Business Mailing Address
First Line : 4612 N HABANA AVE FL 2
Second Line :
City : TAMPA
State : FL
Zip : 33614-7101
Country : US
Telephone Number : 813-875-9000
Fax Number : 813-874-3278
Provider Business Practice Location Address
First Line : 4612 N HABANA AVE FL 2
Second Line :
City : TAMPA
State : FL
Zip : 33614-7101
Country : US
Telephone Number : 813-875-9000
Fax Number : 813-874-3278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 01/18/2022

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