Individual
SAILESH NARESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13311 N 56TH ST, TAMPA, FL 33617-1161
(813) 284-2220
(813) 377-1718
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS9430
FL
207RP1001X
Pulmonary Disease Physician
Primary
OS9430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275778800
—
FL
01
—
P00977996
RR MEDICARE
FL
Enumeration date
06/13/2006
Last updated
08/27/2021
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