Individual
DR. NIKITA C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 425-5203
Mailing address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME79312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258008000
—
FL
Enumeration date
12/09/2005
Last updated
07/01/2019
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