Individual
SHUCHI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12220 BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 631-5000
Mailing address
601 5TH ST S STE 502, ST PETERSBURG, FL 33701-4804
(727) 767-3636
(727) 767-3638
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME100787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000480500
—
FL
01
—
BD011Z
MEDICARE PTAN
FL
Enumeration date
07/18/2007
Last updated
06/20/2018
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