Individual
DR. SAMIR RAMESHCHANDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5803 NW 151ST ST STE 105, MIAMI LAKES, FL 33014-2473
(305) 596-3080
(305) 596-3073
Mailing address
9500 S DADELAND BLVD STE 200, MIAMI, FL 33156-2866
(305) 468-4185
(305) 596-3073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38018
SC
208C00000X
Colon & Rectal Surgery Physician
38018
SC
208C00000X
Colon & Rectal Surgery Physician
Primary
ME140999
FL
208D00000X
General Practice Physician
ME140999
FL
Other
Enumeration date
07/12/2007
Last updated
02/01/2023
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