Shah, Kanta C

Shah, Kanta C is an individual health care provider with primary practice located at 4600 4Th Street North , St Petersburg FL 33703-3802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Shah, Kanta C can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
4600 4Th Street North St Petersburg FL 33703-3802
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME37424 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD0037424 Florida

Profile Details

NPI number 1770556656
LBN Legal business name Shah, Kanta C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 19th, 2011 - about 14 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 1770556656 NPPES
Florida MEDICAID 066075200

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