MEDICARE: UMANG LALIT 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
1	207UN0901X	Nuclear Cardiology Physician	ME140253	FL
2	207RC0000X	Cardiovascular Disease Physician	ME140253	FL
3	207RI0011X	Interventional Cardiology Physician	MD2025-1174	NM
4	207RI0011X	Interventional Cardiology Physician	ME140253	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4Y61H	OTHER	FL	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750514154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMANG LALIT SHAH M.D

Provider Business Mailing Address
First Line	:	3434 MICHIGAN ST
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4602
Country	:	US
Telephone Number	:	865-230-2827
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 MICHIGAN ST
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4602
Country	:	US
Telephone Number	:	865-230-2827
Fax Number	:

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

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	01/12/2026

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