Individual
KEVIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5651 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 443-4299
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 343-4159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME172716
FL
208M00000X
Hospitalist Physician
ME172716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126542000
—
FL
Enumeration date
04/12/2019
Last updated
07/25/2025
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