Individual
DR. SATISH J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 US HIGHWAY 19, HOLIDAY, FL 34691-2635
(727) 344-6569
(727) 384-4388
Mailing address
5000 PARK ST N STE 1017, ST PETERSBURG, FL 33709-2236
(727) 344-6570
(727) 384-4388
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
62439
FL
2085R0001X
Radiation Oncology Physician
Primary
ME62439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021323000
—
FL
01
—
KY325
MEDICARE
FL
01
—
KY326
MEDICARE
—
Enumeration date
09/17/2006
Last updated
01/22/2020
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