Individual
DR. TULSI G. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1920 DON WICKHAM DR STE 335, CLERMONT, FL 34711-1978
(321) 841-7856
(321) 843-6432
Mailing address
1920 DON WICKHAM DR STE 335, CLERMONT, FL 34711-1978
(321) 841-7856
(321) 843-6432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64940
CO
207RP1001X
Pulmonary Disease Physician
Primary
ME161201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120191400
—
FL
Enumeration date
05/30/2017
Last updated
11/17/2023
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