Individual
DR. DIPAK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14701 N FLORIDA AVE, TAMPA, FL 33613-1823
(813) 265-2066
(813) 960-4615
Mailing address
10051 5TH ST N, STE 200, ST PETERSBURG, FL 33702-2289
(813) 265-2066
(813) 960-4615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME50876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258794700
—
FL
Enumeration date
03/09/2006
Last updated
12/14/2016
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