Individual
DR. RAKESH MOHANLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 VONDERBURG DR STE 201E, BRANDON, FL 33511-5999
(813) 655-1100
Mailing address
500 VONDERBURG DR, SUITE 201E, BRANDON, FL 33511-5964
(813) 390-7798
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
11000
FL
207R00000X
Internal Medicine Physician
ME 105936
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME105936
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME 105936
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME105936
FL
Other
Enumeration date
06/27/2007
Last updated
05/23/2014
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