| Siddharth H Shah Md Pa | |
|
4762 Rowan Rd New Port Richey FL 34653-5601 | |
| (727) 848-0800 | |
| (727) 843-8157 |
| Full Name | Siddharth H Shah Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4762 Rowan Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Siddharth H Shah (PRESIDENT) |
| Authorized Official Contact | 7278480800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siddharth H Shah Md Pa Po Box 768 Elfers FL 34680-0768 Ph: (727) 848-0800 | Siddharth H Shah Md Pa 4762 Rowan Rd New Port Richey FL 34653-5601 Ph: (727) 848-0800 |
| NPI Number | 1952462350 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 06/16/2008 |
| Medicare PECOS PAC ID | 7618869546 |
|---|---|
| Medicare Enrollment ID | O20040326000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952462350 | NPI | - | NPPES |
| 256701600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Siddharth H Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174510358 PECOS PAC ID: 0244122182 Enrollment ID: I20051206000939 |
| Provider Name | Rakesh P Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748719 PECOS PAC ID: 6103954557 Enrollment ID: I20100506000118 |
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