Individual
DR. M. MOHSIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 3RD AVE W STE 200, BRADENTON, FL 34205-8633
(941) 794-3118
(941) 782-2017
Mailing address
200 3RD AVE W STE 200, BRADENTON, FL 34205-8633
(941) 794-3118
(941) 782-2017
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
43336
KY
207T00000X
Neurological Surgery Physician
Primary
A066315
CA
207T00000X
Neurological Surgery Physician
MD60010649
WA
207T00000X
Neurological Surgery Physician
ME110039
FL
2084V0102X
Vascular Neurology Physician
103463
MN
2084V0102X
Vascular Neurology Physician
A066315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A663150
BLUE SHIELD
CA
05
—
00A663150
—
CA
05
—
277926
—
OR
Enumeration date
11/23/2005
Last updated
04/06/2026
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