Shahla Medical Group, Pa

LBN: Shahla Medical Group, Pa
Shahla Medical Group, Pa is an health care organization with primary practice located at 8800 Terrene Ct Ste 102 , Bonita Springs FL 34135-9900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Shahla Medical Group, Pa can be contacted via phone (239) 948-3444, or through Shahla, Ziad via phone (239) 948-3444.

Contact Information

Primary practice address
8800 Terrene Ct Ste 102 Bonita Springs FL 34135-9900
Fax: (239) 948-9028
Website:
Authorized official contact:
Name: Shahla, Ziad Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0066854 Florida

Profile Details

NPI number 1902833288
LBN Legal business name Shahla Medical Group, Pa
DBA Doing business as
Authorized official Shahla, Ziad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902833288 NPPES
Florida Other 26304 BC
Florida Other 110188758 BC
Florida MEDICAID N/A BC

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