Individual
ABID H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 BUDINGER AVE STE 101, SAINT CLOUD, FL 34769-4123
(407) 891-2940
(407) 891-2941
Mailing address
635 1ST ST N, WINTER HAVEN, FL 33881-4191
(863) 294-0670
(863) 298-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56045
CT
207RI0011X
Interventional Cardiology Physician
Primary
ME145400
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2013
Last updated
01/24/2022
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