Individual
ASHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1960 POINTE WEST DR, SUITE 102, VERO BEACH, FL 32966-1302
(772) 564-7828
(772) 564-6107
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 563-4723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002719600
—
FL
01
—
149V7
BCBS OF FL
FL
Enumeration date
10/13/2006
Last updated
04/11/2012
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