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Individual

PRANAV SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
16271 BASS RD FL 2, FORT MYERS, FL 33908-3616
(239) 343-9710
(239) 343-4178
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9710
(239) 343-9715

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME120442
FL
207RI0200X
Infectious Disease Physician
Primary
ME120442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013360500
FL
Enumeration date
06/02/2008
Last updated
05/13/2025
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