Individual
DR. VIKRAM N SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N SHOCKLEY LOOP, CRYSTAL RIVER, FL 34429-7816
(352) 795-1999
(352) 795-2269
Mailing address
1550 N SHOCKLEY LOOP, CRYSTAL RIVER, FL 34429-7816
(352) 795-1999
(352) 795-2269
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0061677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020019628
RAILROAD MEDICARE
FL
01
—
15233
BLUE CROSS BLUE SHIELD FL
FL
01
—
167280
BLACK LUNG
FL
05
—
256221900
—
FL
Enumeration date
02/17/2006
Last updated
03/27/2026
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