Organization
MUBARIK AHMAD SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBARIK A SHAH M.D. (PRESIDENT)
(561) 721-3939
Entity
Organization
Contact information
Practice address
3918 VIA POINCIANA, SUITE 10, LAKE WORTH, FL 33467-2991
(561) 721-3939
(561) 439-6851
Mailing address
3918 VIA POINCIANA, SUITE 10, LAKE WORTH, FL 33467-2991
(561) 721-3939
(561) 439-6851
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME89362
FL
2086S0129X
Vascular Surgery Physician
ME89362
FL
Other
Enumeration date
10/09/2007
Last updated
11/26/2007
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