Individual
HEMANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0063553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00430
UNIVERSAL
FL
01
—
104183
AVMED
FL
01
—
110130899
RAILROAD MEDICARE
FL
01
—
201978
AMERIGROUP
FL
01
—
26263
BCBS
FL
01
—
26992
WELLCARE
FL
01
—
26992
WELLCARE
—
05
—
379627201
—
FL
01
—
6011235
GHI
FL
01
—
ME63553
WORK COMP
FL
01
—
PCP0066
QUALITY HEALTH PLAN
FL
Enumeration date
08/03/2006
Last updated
12/30/2020
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