Individual
NISARG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-3229
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-3229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101026938
MI
207X00000X
Orthopaedic Surgery Physician
OS23608
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/20/2021
Last updated
06/25/2026
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