Shah, Swati M

Shah, Swati M is an individual health care provider with primary practice located at 1660 Prudential Dr Suite 310, Jacksonville FL 32207-8197. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Shah, Swati M can be contacted via phone (904) 396-8656.

Contact Information

Primary practice address
1660 Prudential Dr Suite 310 Jacksonville FL 32207-8197
Fax: (904) 396-5931
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME98418 Florida
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME98418 Florida

Profile Details

NPI number 1144424722
LBN Legal business name Shah, Swati M
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Dec 18th, 2018 - about 6 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 1144424722 NPPES
Georgia MEDICAID 163413836A
Georgia MEDICAID 2784947-00
Georgia Other P01321209

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