Individual
TANAY EKNATH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W 8TH ST FL 2, JACKSONVILLE, FL 32209-6511
(904) 244-4202
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-4202
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MFC1970
FL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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