Shah, Avani Ketan
Shah, Avani Ketan is an individual health care provider with primary practice located at 5600 Bayshore Rd , Palmetto FL 34221-9352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shah, Avani Ketan can be contacted via phone (941) 721-2020.Contact Information
Primary practice address
5600 Bayshore Rd
Palmetto FL 34221-9352
Phone: (941) 721-2020
Fax: (941) 721-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0074998 | Florida |
Profile Details
| NPI number | 1902873128 |
|---|---|
| LBN Legal business name | Shah, Avani Ketan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Mar 24th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902873128 | NPPES |
| Florida | MEDICAID | 258237600 |
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