Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | OS14332 | FL |
NPI | 1902111008 |
---|---|
Provider Name | Dr. Sweeti Shah |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2010 |
Last Update Date | 17/03/2021 |