Individual
AHSAN ULLAH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8440 MURANO DEL LAGO DR, ESTERO, FL 34135-8615
(239) 221-5402
(239) 949-5713
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME132259
FL
207RX0202X
Medical Oncology Physician
Primary
ME132259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106697500
—
FL
Enumeration date
04/15/2014
Last updated
09/02/2022
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