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Individual

DR. RAMESH C SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 E MAGNOLIA AVE, EUSTIS, FL 32726-3583
(352) 357-1550
(352) 315-7587
Mailing address
201 E MAGNOLIA AVE, EUSTIS, FL 32726-3583
(352) 357-1550
(352) 315-7587

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13031
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017286000
FL
01
IQ288Z
MEDICARE PTAN
FL
Enumeration date
04/13/2006
Last updated
11/02/2016
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