Individual
DR. SUJAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 S CONGRESS AVE STE 200, PALM SPRINGS, FL 33461-2171
(561) 253-3980
(561) 253-3985
Mailing address
1630 S CONGRESS AVE STE 200, PALM SPRINGS, FL 33461-2171
(561) 253-3980
(561) 253-3985
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
15552
NH
207RX0202X
Medical Oncology Physician
Primary
ME119608
FL
207RX0202X
Medical Oncology Physician
N1136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32001101
—
NH
Enumeration date
01/17/2008
Last updated
11/11/2020
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