Organization
SANJIV SHAH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV ISHVERLAL SHAH MD (OWNER/MD/PRESIDENT)
(352) 565-7006
Entity
Organization
Contact information
Practice address
5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7565
(352) 565-7006
(786) 220-8715
Mailing address
5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7565
(352) 565-7006
(786) 220-8715
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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