Shah, Stuart Fiadh

Shah, Stuart Fiadh is an individual health care provider with primary practice located at 2349 Village Square Pkwy Ste 112 , Fleming Island FL 32003-4319. 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, Stuart Fiadh can be contacted via phone (904) 253-6910.

Contact Information

Primary practice address
2349 Village Square Pkwy Ste 112 Fleming Island FL 32003-4319
Phone: (904) 253-6910
Fax: (904) 253-6964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME148435 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME148435 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME148435 Florida

Profile Details

NPI number 1700271343
LBN Legal business name Shah, Stuart Fiadh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Aug 14th, 2023 - about 2 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 1700271343 NPPES
Florida MEDICAID 110433100

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