Individual
GAURAV R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SE OSCEOLA ST, STE 200, STUART, FL 34994-2364
(772) 286-1550
(772) 221-0569
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME115947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009080500
—
FL
Enumeration date
08/31/2006
Last updated
10/13/2020
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