Shah, Suketu Kanu

Shah, Suketu Kanu is an individual health care provider with primary practice located at 2900 W Bay To Bay Blvd Unit 1101 , Tampa FL 33629-8130. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shah, Suketu Kanu can be contacted via phone (813) 298-6864.

Contact Information

Primary practice address
2900 W Bay To Bay Blvd Unit 1101 Tampa FL 33629-8130
Phone: (813) 298-6864
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME91798 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X ME91798 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME91798 Florida

Profile Details

NPI number 1992741102
LBN Legal business name Shah, Suketu Kanu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 26th, 2022 - 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 1992741102 NPPES
Florida Other 1992741102 NPPES
Florida MEDICAID 271662300 NPPES

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