Individual
SHIVAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11750 BIRD RD, MIAMI, FL 33175-3530
(305) 480-6663
Mailing address
11750 BIRD RD, MIAMI, FL 33175-3530
(305) 480-6663
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME157277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116537900
—
FL
01
—
1HX4K
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/04/2014
Last updated
02/27/2023
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