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NPI Code Detail

MEDICARE: SUNDEEP SHAH M.D.

MEDICARE: SUNDEEP 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 Physician4301092097MI
2207RN0300XNephrology PhysicianME110110FL

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 : 1982868972
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNDEEP SHAH M.D.
Provider Business Mailing Address
First Line : 15815 SHADDOCK DR STE 130
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5773
Country : US
Telephone Number : 407-605-2321
Fax Number : 407-671-4155
Provider Business Practice Location Address
First Line : 15815 SHADDOCK DR STE 130
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5773
Country : US
Telephone Number : 407-605-2321
Fax Number : 407-671-4155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 03/02/2026

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Directions to “ SUNDEEP SHAH M.D.” Practice Location

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