# YOGESH H SHAH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225376700
- **Authorized official:** DR. YOGESH H SHAH M.D. (CARDIOLOGIST/OWNER)
- **Authorized official phone:** (386) 426-2060

## Contact information

- **Practice address:** 501 LIVE OAK ST, SUITE A, NEW SMYRNA BEACH, FL 32168-7312
- **Practice address phone:** (386) 426-2060
- **Practice address fax:** (386) 426-6533
- **Mailing address:** 501 LIVE OAK ST, SUITE A, NEW SMYRNA BEACH, FL 32168-7312
- **Mailing address phone:** (386) 426-2060
- **Mailing address fax:** (386) 426-6533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME61678 | FL | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 01/17/2013