Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 01060740 | IN |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME97804 | FL |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 01060740 | IN |
NPI | 1124098249 |
---|---|
Provider Name | Shalin Shah |
First Address | Tampa, FL 33614-7101 |
Second Address | Tampa, FL 33614-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 18/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
277671500 | (05) | FL |