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Individual

DR. ANANTKUMAR MANUBHAI SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2210 STATE RD 580, DUNEDIN, FL 34698
(615) 314-5257
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME76555
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000802300
FL
01
110223795
RAILROAD MEDICARE
FL
Enumeration date
06/27/2006
Last updated
01/19/2023
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