Individual
DR. ANNA KETAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5802 N 30TH ST, TAMPA, FL 33610-1469
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0100088
MD
207R00000X
Internal Medicine Physician
Primary
ME173003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127856200
—
FL
01
—
L93XY
BCBS
FL
Enumeration date
05/04/2021
Last updated
11/05/2025
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