Provider Demographics
NPI:1699789180
Name:SHAH, ABID A (MD)
Entity type:Individual
Prefix:DR
First Name:ABID
Middle Name:A
Last Name:SHAH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5741 BEE RIDGE ROAD
Mailing Address - Street 2:STE 420
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233
Mailing Address - Country:US
Mailing Address - Phone:941-377-7490
Mailing Address - Fax:941-377-6245
Practice Address - Street 1:5741 BEE RIDGE ROAD
Practice Address - Street 2:STE 420
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233
Practice Address - Country:US
Practice Address - Phone:941-377-7490
Practice Address - Fax:941-377-6245
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FL47411207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA84706Medicare UPIN
FL58487Medicare ID - Type Unspecified