Individual
KRUTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SW ARCHER RD, GAINESVILLE, FL 32610-2595
(352) 265-5911
Mailing address
1600 SW ARCHER RD, BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME137129
FL
207P00000X
Emergency Medicine Physician
ME137129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103399000
—
FL
Enumeration date
06/26/2015
Last updated
03/22/2023
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