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NPI Code Detail

MEDICARE: HARSH A SHAH MD

MEDICARE: HARSH A SHAH MD
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
1208M00000XHospitalist PhysicianME108623FL
2207R00000XInternal Medicine PhysicianME108623FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114JK2OTHERFLBCBS FL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639130834
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARSH A SHAH MD
Provider Business Mailing Address
First Line : PO BOX 850001
Second Line :
City : ORLANDO
State : FL
Zip : 32885-0001
Country : US
Telephone Number : 941-371-7700
Fax Number : 888-972-9784
Provider Business Practice Location Address
First Line : 6400 EDGELAKE DR
Second Line :
City : SARASOTA
State : FL
Zip : 34240-8813
Country : US
Telephone Number : 941-371-7700
Fax Number : 888-972-9784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 10/28/2025

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