Organization
DIPAK SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK SHAH MD (OWNER)
(813) 265-2066
Entity
Organization
Contact information
Practice address
14701 N FLORIDA AVE, TAMPA, FL 33613-1823
(813) 265-2066
Mailing address
14701 N FLORIDA AVE, TAMPA, FL 33613-1823
(813) 265-2066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
77640
FL
Enumeration date
12/21/2006
Last updated
08/22/2020
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