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Individual
MANISH N SHAH
Active
Individual
MANISH N SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81346
FL
208000000X
Pediatrics Physician
ME81346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17002
BCBS
FL
05
—
264577700
—
FL
Enumeration date
07/20/2006
Last updated
09/21/2007
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