MEDICARE: DR. SEJAL SHAH ALVAREZ 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	208000000X	Pediatrics Physician	ME99810	FL

General Provider Information

NPI Number	:	1912117995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEJAL SHAH ALVAREZ M.D.

Provider Business Mailing Address
First Line	:	9638 TREE TOPS LAKE RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-4709
Country	:	US
Telephone Number	:	813-792-2090
Fax Number	:

Provider Business Practice Location Address
First Line	:	9638 TREE TOPS LAKE RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-4709
Country	:	US
Telephone Number	:	813-792-2090
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/27/2012

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