Shah, Purvin

Shah, Purvin is an individual health care provider with primary practice located at 9802 Baymeadows Rd Ste 12 Pmb # 156, Jacksonville FL 32256-7987. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shah, Purvin can be contacted via phone (904) 435-7993.

Contact Information

Primary practice address
9802 Baymeadows Rd Ste 12 Pmb # 156 Jacksonville FL 32256-7987
Phone: (904) 435-7993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS10029 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X OS10029 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS10029 Florida

Profile Details

NPI number 1548268865
LBN Legal business name Shah, Purvin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 13th, 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 1548268865 NPPES
Florida Other 30149 BLUE CROSS BLUE SHIELD
Florida MEDICAID 278367300 BLUE CROSS BLUE SHIELD

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