Individual
NEENAD MAHENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 VILLAGE SQUARE PKWY STE 106C, FLEMING ISLAND, FL 32003-6409
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME90197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098377
WELLCARE
FL
01
—
1115825
CARE PLUS
FL
01
—
1193468
WELLCARE
FL
05
—
269981800
—
FL
01
—
299017
AVMED
FL
01
—
3625970
CIGNA
FL
01
—
44111
BCBS
FL
01
—
7633639
AETNA
FL
01
—
P01451923
RR MEDICARE
FL
01
—
P015696540
RR MEDICARE
FL
Enumeration date
08/11/2005
Last updated
01/16/2026
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