Organization
NEW COAST CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ SHAH (MD)
(228) 868-5555
Entity
Organization
Contact information
Practice address
1203 BROAD AVE, GULFPORT, MS 39501-2489
(228) 868-5555
(228) 574-2001
Mailing address
1203 BROAD AVE, GULFPORT, MS 39501-2489
(228) 868-5555
(228) 574-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014791
—
MS
Enumeration date
08/30/2006
Last updated
07/12/2022
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