Individual
NISHAN ANILKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 MANATEE AVE E, BRADENTON, FL 34208-1828
(941) 226-0206
(941) 900-1043
Mailing address
1313 VINETREE DR, BRANDON, FL 33510-2091
(813) 480-3563
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
123001
FL
Other
Enumeration date
04/07/2010
Last updated
01/24/2025
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