Shah, Manoj P
Shah, Manoj P is an individual health care provider with primary practice located at 14055 Seaway Rd , Gulfport MS 39503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shah, Manoj P can be contacted via phone (228) 868-5555.Contact Information
Primary practice address
14055 Seaway Rd
Gulfport MS 39503
Phone: (228) 868-5555
Fax: (228) 574-2002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 17037 | Mississippi |
Profile Details
| NPI number | 1306956297 |
|---|---|
| LBN Legal business name | Shah, Manoj P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 7th, 2012 - about 12 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 | 1306956297 | NPPES |
| Mississippi | MEDICAID | 00123304 |
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