MEDICARE: DR. SWATI M SHAH MBBS

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	207RR0500X	Rheumatology Physician	ME98418	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01321209	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1144424722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SWATI M SHAH MBBS

Provider Business Mailing Address
First Line	:	2255 GLADES RD STE 228W
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7391
Country	:	US
Telephone Number	:	904-517-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	9765 SAN JOSE BLVD STE 103
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5467
Country	:	US
Telephone Number	:	904-517-8222
Fax Number	:	904-517-1222

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	09/26/2024

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