Individual
DR. NIPA RAVI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(321) 841-9278
(321) 843-1673
Mailing address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(321) 841-9278
(321) 843-1673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N/A
NY
207L00000X
Anesthesiology Physician
Primary
OS10418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000359600
—
FL
Enumeration date
04/02/2008
Last updated
03/29/2023
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