Shah, Nikita C

Shah, Nikita C is an individual health care provider with primary practice located at 22 W Underwood St , Orlando FL 32806-1110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Shah, Nikita C can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
22 W Underwood St Orlando FL 32806-1110
Fax: (407) 425-5203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME79312 Florida

Profile Details

NPI number 1265417505
LBN Legal business name Shah, Nikita C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 1st, 2019 - about 5 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 1265417505 NPPES
Florida MEDICAID 258008000

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