Individual
SIDDHARTH H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4762 ROWAN RD, NEW PORT RICHEY, FL 34653-5601
(727) 848-0800
(727) 843-8157
Mailing address
PO BOX 768, ELFERS, FL 34680-0768
(727) 848-0800
(727) 843-8157
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0068165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377497000
—
FL
Enumeration date
10/03/2005
Last updated
06/10/2008
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