| Vrajesh Shah M.d., P.a. | |
|
15953 N Florida Ave Lutz FL 33549-8102 | |
| (813) 960-4894 | |
| (813) 968-4997 |
| Full Name | Vrajesh Shah M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15953 N Florida Ave, Lutz, Florida |
| Authorized Official Name and Position | Marie Vanessa Matos (OFFICE MANAGER) |
| Authorized Official Contact | 8139604894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vrajesh Shah M.d., P.a. Po Box 271447 Tampa FL 33688-1447 Ph: (813) 960-4894 | Vrajesh Shah M.d., P.a. 15953 N Florida Ave Lutz FL 33549-8102 Ph: (813) 960-4894 |
| NPI Number | 1902839913 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902839913 | NPI | - | NPPES |
| 370821701 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0061405 (Florida) | Primary |
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