Individual
KHUSSBU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
14014 N 46TH ST STE A, TAMPA, FL 33613-4018
(813) 284-2323
(813) 377-1715
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7539
(813) 284-2323
(813) 377-1715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6054
FL
Other
Enumeration date
12/23/2020
Last updated
10/06/2025
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