Dr Indravadan P Shah, MD is a
Internal Medicine physician based in South Daytona, Florida. Dr Indravadan P Shah is licensed to practice in Florida (license number ME48645) and his current practice location is 667 Beville Rd, Ste B, South Daytona, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 322-2224.
NPI number for Dr Indravadan P Shah is 1427071620 and his current mailing address is 770 John Anderson Dr, Ormond Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427071620.
Physician's Profile
| Full Name | Dr Indravadan P Shah |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 667 Beville Rd, South Daytona, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427071620
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Indravadan P Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427071620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | ME48645 (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. Dr Indravadan P 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 Address | Practice Location Address |
Dr Indravadan P Shah, MD 770 John Anderson Dr, Ormond Beach, FL 32176 Ph: (386) 322-2224 | Dr Indravadan P Shah, MD 667 Beville Rd, Ste B, South Daytona, FL 32119-1952 Ph: (386) 322-2224 |
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