| Dr Satish J Shah, MD | |
|
3000 Us Highway 19, Holiday, FL 34691-2635 | |
| (727) 344-6569 | |
| (727) 384-4388 |
| Full Name | Dr Satish J Shah |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 3000 Us Highway 19, Holiday, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427155191 | NPI | - | NPPES |
| KY325 | Other | FL | MEDICARE |
| 021323000 | Medicaid | FL | |
| KY326 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 62439 (Florida) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | ME62439 (Florida) | Primary |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Entity Name | Comprehensive Hematology Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144786906 PECOS PAC ID: 5395084461 Enrollment ID: O20190307000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Satish J Shah, MD 5000 Park St N Ste 1017, St Petersburg, FL 33709-2236 Ph: (727) 344-6570 | Dr Satish J Shah, MD 3000 Us Highway 19, Holiday, FL 34691-2635 Ph: (727) 344-6569 |
Geoffrey Lance Ray, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3000 Us Highway 19, Holiday, FL 34691 Phone: 727-942-7070 | |
Purendra P Sinha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3000 Us Hwy 19, Holiday, FL 34691 Phone: 727-942-7070 Fax: 727-934-9457 |