Shah, Neil
Shah, Neil is an individual health care provider with primary practice located at 555 W State Road 434 , Longwood FL 32750-5119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shah, Neil can be contacted via phone (321) 842-2994.Contact Information
Primary practice address
555 W State Road 434
Longwood FL 32750-5119
Phone: (321) 842-2994
Fax: (407) 767-5801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 280216 | New York |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA10074600 | New Jersey |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME151877 | Florida |
Profile Details
NPI number | 1063771830 |
---|---|
LBN Legal business name | Shah, Neil |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2012 |
Last updated | Aug 26th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063771830 | NPPES |
New York | MEDICAID | 04204266 |
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