| Nilam D Shah Pa | |
|
5778 5th Ave N Saint Petersburg FL 33710-7104 | |
| (727) 388-2625 | |
| (727) 828-9233 |
| Full Name | Nilam D Shah Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5778 5th Ave N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Nilamben D Shah (PRESIDENT) |
| Authorized Official Contact | 7274170233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nilam D Shah Pa 5778 5th Ave N Saint Petersburg FL 33710-7104 Ph: (727) 388-2625 | Nilam D Shah Pa 5778 5th Ave N Saint Petersburg FL 33710-7104 Ph: (727) 388-2625 |
| NPI Number | 1194177857 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5395028864 |
|---|---|
| Medicare Enrollment ID | O20170208000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194177857 | NPI | - | NPPES |
| 020378900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nilamben Deval Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356306070 PECOS PAC ID: 4183697055 Enrollment ID: I20040818000622 |
| Provider Name | Usha Tejalkumar Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427853886 PECOS PAC ID: 4688197866 Enrollment ID: I20250328000264 |
Metropolitan Charities Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 6th Ave S Ste 305, Saint Petersburg, FL 33701 Phone: 727-321-3854 Fax: 727-327-7670 | |
Kelly Venuti, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1631 Dr Martin Luther King Jr St N, Saint Petersburg, FL 33704 Phone: 727-275-7550 | |
Viamyo Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 1st Ave S Ste 200, Saint Petersburg, FL 33701 Phone: 727-308-9848 | |
Innovative Wound Care Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Tech Dr N Ste 100, Saint Petersburg, FL 33716 Phone: 855-819-6863 | |
Truescan Mri Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 4th St N, Saint Petersburg, FL 33703 Phone: 727-709-5058 | |
Gulf Coast Internist, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4957 38th Ave N, Suite C, Saint Petersburg, FL 33710 Phone: 727-525-0900 Fax: 727-525-9500 | |
Premier Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Pasadena Ave S, Saint Petersburg, FL 33707 Phone: 727-345-0160 |