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Organization
VRAJESH SHAH M.D., P.A.
Active
Organization
VRAJESH SHAH M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE VANESSA MATOS (OFFICE MANAGER)
(813) 960-4894
Entity
Organization
Contact information
Practice address
15953 N FLORIDA AVE, LUTZ, FL 33549-8102
(813) 960-4894
(813) 968-4997
Mailing address
PO BOX 271447, TAMPA, FL 33688-1447
(813) 960-4894
(813) 968-4997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0061405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370821701
—
FL
Enumeration date
07/10/2006
Last updated
08/10/2009
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