Individual
DR. CHANDRAKANT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13033 SW 112TH ST, MIAMI, FL 33186-4601
(305) 382-4901
(305) 487-7280
Mailing address
13033 SW 112TH ST, MIAMI, FL 33186-4601
(305) 382-4901
(305) 487-7280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 61676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058773700
—
FL
Enumeration date
11/27/2006
Last updated
03/12/2013
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