Individual
AVANI KETAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5600 BAYSHORE RD, PALMETTO, FL 34221-9352
(941) 721-2020
(941) 721-2027
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 708-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0074998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258237600
—
FL
Enumeration date
03/07/2006
Last updated
03/24/2017
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