Shah, Chetan Chandulal
Shah, Chetan Chandulal is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Shah, Chetan Chandulal can be contacted via phone (352) 265-0291.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-8426
Phone: (352) 265-0291
Fax: (352) 265-0279
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | E-5677 | Arkansas |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | C10010212 | Delaware |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | E-5677 | Arkansas |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME113302 | Florida |
Profile Details
NPI number | 1346446911 |
---|---|
LBN Legal business name | Shah, Chetan Chandulal |
Credentials | M.B.B.S |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2007 |
Last updated | Jan 20th, 2022 - about 2 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 | 1346446911 | NPPES |
Arkansas | MEDICAID | 170947001 | |
Arkansas | MEDICAID | 006569400 |
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