Individual
AMIT INDRAVADAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1396 WHISPER CIR, SEBRING, FL 33870-1204
(863) 385-1244
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPARTMENT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME48069
FL
207RX0202X
Medical Oncology Physician
Primary
ME48069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045758200
—
FL
Enumeration date
06/08/2005
Last updated
03/18/2026
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