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NPI Code Detail

MEDICARE: DR. RAJANI P.V. SHAH M.D.

MEDICARE: DR. RAJANI P.V. 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
1207R00000XInternal Medicine PhysicianME71862FL

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 : 1710936695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJANI P.V. SHAH M.D.
Provider Business Mailing Address
First Line : 2700 HEALING WAY STE 112
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-5453
Country : US
Telephone Number : 813-929-5330
Fax Number : 813-929-5332
Provider Business Practice Location Address
First Line : 8702 HUNTERS LAKE DR STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33647-2855
Country : US
Telephone Number : 813-467-4700
Fax Number : 813-467-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/14/2022

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