Individual
CHIRAG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2100 VIA BELLA BLVD, SUITE 102, LAND O LAKES, FL 34639-5429
(813) 528-4960
(813) 355-5088
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS9690
FL
207RP1001X
Pulmonary Disease Physician
Primary
OS9690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277078400
—
FL
01
—
P00869322
RR MEDICARE
FL
Enumeration date
11/01/2006
Last updated
09/07/2021
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