Individual
DR. SITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1332 OAKLANDING LN, FLEMING ISLAND, FL 32003-9015
(904) 728-8533
Mailing address
1332 OAKLANDING LN, FLEMING ISLAND, FL 32003-9015
(904) 728-8533
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME76475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000801996A
—
GA
05
—
2546531-00
—
FL
01
—
300089806
RR CARE
FL
Enumeration date
02/08/2006
Last updated
05/07/2013
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