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
Fax: (407) 767-5801
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063771830 NPPES
New York MEDICAID 04204266

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