Brian S Shah, DDS, MD - Dentist in St. Petersburg, FL

Brian S Shah, DDS, MD is a Dentist - Oral And Maxillofacial Surgery based in St. Petersburg, Florida. Brian S Shah is licensed to practice in Florida (license number ME139554) and his current practice location is 131 2nd Ave S, St. Petersburg, Florida. He can be reached at his office (for appointments etc.) via phone at (727) 823-3220.

NPI number for Brian S Shah is 1104867431 and his current mailing address is 131 2nd Ave S, St. Petersburg, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104867431.

Contact Information

Brian S Shah, DDS, MD
131 2nd Ave S,
St. Petersburg, FL 33701-4382
(727) 823-3220
(727) 823-7284

Map and Direction




Healthcare Provider's Profile

Full NameBrian S Shah
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location131 2nd Ave S, St. Petersburg, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104867431
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 06/05/2025

Medical Identifiers

Medical identifiers for Brian S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104867431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 019.028191 (Illinois)Secondary
204E00000XOral & Maxillofacial Surgery 036.125106 (Illinois)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery ME139554 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian S Shah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian S Shah, DDS, MD
131 2nd Ave S,
St. Petersburg, FL 33701-4382

Ph: (727) 823-3220
Brian S Shah, DDS, MD
131 2nd Ave S,
St. Petersburg, FL 33701-4382

Ph: (727) 823-3220

Reviews and Comments


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