MEDICARE: DR. NEELAM S. SHAH D.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
1	122300000X	Dentist	DN1856764	MA
2	122300000X	Dentist	DN22848	FL

General Provider Information

NPI Number	:	1255742169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEELAM S. SHAH D.M.D.

Provider Business Mailing Address
First Line	:	12721 SW 27TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-2149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 US 1 STE 350
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3834
Country	:	US
Telephone Number	:	561-694-1740
Fax Number	:

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

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	03/18/2025

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Directions to “ DR. NEELAM S. SHAH D.M.D.” Practice Location

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