Shah, Maulik Raj

Shah, Maulik Raj is an individual health care provider with primary practice located at 7550 W University Ave Sute B, Gainesville FL 32607-7608. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shah, Maulik Raj can be contacted via phone (352) 235-9636.

Contact Information

Primary practice address
7550 W University Ave Sute B Gainesville FL 32607-7608
Phone: (352) 235-9636
Fax: (877) 465-6936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 2002014672 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002014672 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME107485 Florida
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X ME107485 Florida

Profile Details

NPI number 1417966219
LBN Legal business name Shah, Maulik Raj
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 15th, 2014 - about 10 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 1417966219 NPPES
Missouri MEDICAID 205999006
Missouri MEDICAID 007181600

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