Shah, Gaurav R

Shah, Gaurav R is an individual health care provider with primary practice located at 500 Se Osceola St Ste 200, Stuart FL 34994-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shah, Gaurav R can be contacted via phone (772) 286-1550.

Contact Information

Primary practice address
500 Se Osceola St Ste 200 Stuart FL 34994-2364
Fax: (772) 221-0569
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME115947 Florida

Profile Details

NPI number 1013029289
LBN Legal business name Shah, Gaurav R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 13th, 2020 - about 4 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 1013029289 NPPES
Florida MEDICAID 009080500

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