| Hemant N Shah Md Llc | |
|
3306 Us Highway 19 Holiday FL 34691-1846 | |
| (727) 849-6850 | |
| Not Available |
| Full Name | Hemant N Shah Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3306 Us Highway 19, Holiday, Florida |
| Authorized Official Name and Position | Hemant Shah (OWNER/PROVIDER) |
| Authorized Official Contact | 7278496850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hemant N Shah Md Llc Po Box 21727 Tampa FL 33622-1727 Ph: (727) 823-2188 | Hemant N Shah Md Llc 3306 Us Highway 19 Holiday FL 34691-1846 Ph: (727) 849-6850 |
| NPI Number | 1841207446 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/12/2013 |
| Medicare PECOS PAC ID | 5991798811 |
|---|---|
| Medicare Enrollment ID | O20040406001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841207446 | NPI | - | NPPES |
| 38839 | Other | FL | BCBS |
| CH8693 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hemant N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295743508 PECOS PAC ID: 3678531605 Enrollment ID: I20101203000632 |
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