Individual
SHAH HOSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 737-7733
(561) 733-5192
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 955-2879
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293004800
—
FL
Enumeration date
03/07/2006
Last updated
05/27/2022
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