Individual
DR. CHINTAN B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 NEBRASKA AVE, STE 2B, FORT PIERCE, FL 34950-4864
(772) 464-4050
(772) 464-4421
Mailing address
2215 NEBRASKA AVE, STE 2B, FORT PIERCE, FL 34950-4864
(772) 302-3767
(888) 436-7197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME107058
FL
Other
Enumeration date
10/22/2007
Last updated
08/16/2019
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