Shah, Anjan R

Shah, Anjan R is an individual health care provider with primary practice located at 560 S Lakewood Dr Ste 101 , Brandon FL 33511-5016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shah, Anjan R can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
560 S Lakewood Dr Ste 101 Brandon FL 33511-5016
Phone: (813) 978-9700
Fax: (813) 558-6434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME100905 Florida

Profile Details

NPI number 1104091933
LBN Legal business name Shah, Anjan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Jan 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104091933 NPPES
Florida Other 316383 AVMED
Florida Other 7794524 AVMED
Florida MEDICAID 000065200 AVMED
Florida Other 9595150 AVMED
Florida Other 30332 AVMED

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