Organization
NILAM D SHAH PA
Active
Other names
Sunrise Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILAMBEN D SHAH MD (PRESIDENT)
(727) 417-0233
Entity
Organization
Contact information
Practice address
5778 5TH AVE N, SAINT PETERSBURG, FL 33710-7104
(727) 388-2625
(727) 828-9233
Mailing address
5778 5TH AVE N, SAINT PETERSBURG, FL 33710-7104
(727) 388-2625
(727) 828-9233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020378900
—
FL
Enumeration date
07/06/2016
Last updated
01/30/2024
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