Gaurav R Shah
Nephrologist
500 Se Osceola St Ste 200
Stuart
, Florida 34994-2364
Gaurav R Shah
Nephrologist
500 Se Osceola St Ste 200
Stuart
, Florida 34994-2364
(772) 223-5646
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Gaurav R Shah
- Po Box 417
- Stuart, FL
- Zip : 34995-0417
- Fax : (772) 223-5646
- Phone : (772) 223-2832
Second Address
- Gaurav R Shah
- 500 Se Osceola St Ste 200
- Stuart, FL
- Zip : 34994-2364
- Fax : (772) 221-0569
- Phone : (772) 286-1550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | ME115947 | FL |
National Provider Identifier
| NPI | 1013029289 |
|---|---|
| Provider Name | Gaurav R Shah |
| First Address | Stuart, FL 34995-0417 |
| Second Address | Stuart, FL 34994-2364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 13/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009080500 | (05) | FL |
| G57603 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.