Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME32508 | FL |
N | 207RH0003X | Hematology & Oncology | ME32508 | FL |
Y | 207RX0202X | Medical Oncology | ME32508 | FL |
NPI | 1003919366 |
---|---|
Provider Name | Dr. Ramesh Shah |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Tampa, FL 33607-6214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 12/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039308800 | (05) | FL |
30115 | BCBS (01) | FL |
P00679542 | RR MEDICARE (01) | FL |