institution
Chandrakant Shah Md Pa
Primary Care Clinic/Center in Miami, Florida
NPI 1790940138

Chandrakant Shah Md Pa is a Primary Care Clinic/Center based in Miami, FL and is specialized in Primary Care. Chandrakant Shah Md Pa practices in Miami, FL. The NPI Number for Chandrakant Shah Md Pa is 1790940138 and holds a License No. 0061676 (Florida).

The current practice location address for Chandrakant Shah Md Pa is 13033 Sw 112Th St, Miami, FL and can be reached out via phone at 305-382-4901 and via fax at 305-382-4502.

Location: 13033 Sw 112Th St, Miami, FL, 33186-4601
institution
Provider Profile Details
NPI Number
1790940138
Provider Name
Chandrakant Shah Md Pa
Credential
Provider Entity Type
Organization
Address
13033 Sw 112Th St, Miami, FL, 33186-4601
Phone Number
305-382-4901
Fax Number
305-382-4502
Provider Enumeration Date
07/24/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
14792 01 FL MEDICARE ID
058773703 05 FL
institution
Provider Business Practice Location Address Details
Address
13033 Sw 112Th St
City
State
Zip
33186-4601
Phone Number
305-382-4901
Fax Number
305-382-4502
person
Provider Business Mailing Address Details
Address
13033 Sw 112Th St
City
State
Zip
33186-4601
Phone Number
305-382-4901
Fax Number
305-382-4502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
0061676 (Florida)
Definition
Definition to come...
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