Individual
DR. CHETAN CHANDULAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-8426
(352) 265-0291
(352) 265-0279
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
E-5677
AR
2085P0229X
Pediatric Radiology Physician
C10010212
DE
2085P0229X
Pediatric Radiology Physician
E-5677
AR
2085P0229X
Pediatric Radiology Physician
Primary
ME113302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006569400
—
FL
05
—
170947001
—
AR
Enumeration date
06/21/2007
Last updated
01/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us