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NPI Code Detail

MEDICARE: KRUPA UDAY SHAH PA-C

MEDICARE: KRUPA UDAY SHAH PA-C
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
1363AM0700XMedical Physician AssistantPA2399NV

General Provider Information

NPI Number : 1316538382
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRUPA UDAY SHAH PA-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6360 BOULDER HWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-7301
Country : US
Telephone Number : 725-228-4520
Fax Number : 877-889-5390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2021
Last Update Date : 02/13/2026

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Directions to “ KRUPA UDAY SHAH PA-C” Practice Location

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