Individual
SHAILEE SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 SAINT ELIZABETH WAY STE 110, ST JOHNS, FL 32259-1153
(904) 691-9100
Mailing address
300 SAINT ELIZABETH WAY STE 110, ST JOHNS, FL 32259-1153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.132016
OH
207RC0000X
Cardiovascular Disease Physician
Primary
ME154819
FL
Other
Enumeration date
04/02/2015
Last updated
10/22/2024
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