Organization
RAZA SHAH M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAZA SHAH MD (PHYSICIAN-OWNER)
(407) 248-9800
Entity
Organization
Contact information
Practice address
9430 TURKEY LAKE RD, STE 108, ORLANDO, FL 32819-8015
(407) 248-9800
Mailing address
PO BOX 690493, ORLANDO, FL 32869-0493
(407) 248-9800
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME68053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378390100
—
FL
Enumeration date
07/15/2009
Last updated
07/15/2009
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