Individual
DR. SHALIN RAMESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
403 S KINGS AVE STE 100, BRANDON, FL 33511-5962
(813) 982-3460
(813) 982-3461
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
OS10115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280094200
—
FL
01
—
P00679545
RR MEDICARE
FL
Enumeration date
12/08/2006
Last updated
11/20/2021
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