Sunrise Medical Clinic
LBN: Nilam D Shah Pa
Sunrise Medical Clinic is an health care organization with primary practice located at 5778 5Th Ave N , Saint Petersburg FL 33710-7104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Nilam D Shah Pa can be contacted via phone (727) 388-2625, or through Shah, Nilamben D via phone (727) 417-0233.
Contact Information
Primary practice address
5778 5Th Ave N
Saint Petersburg FL 33710-7104
Phone: (727) 388-2625
Fax: (727) 828-9233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1194177857 |
|---|---|
| LBN Legal business name | Nilam D Shah Pa |
| DBA Doing business as | Sunrise Medical Clinic |
| Authorized official | Shah, Nilamben D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Jan 30th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194177857 | NPPES |
| Florida | MEDICAID | 020378900 |
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