| Rakesh P Shah Md Pa | |
|
4766 Rowan Rd New Port Richey FL 34653-5601 | |
| (727) 848-0800 | |
| Not Available |
| Full Name | Rakesh P Shah Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4766 Rowan Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Rakesh P Shah (PRESIDENT) |
| Authorized Official Contact | 7278480800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rakesh P Shah Md Pa Po Box 2407 Oldsmar FL 34677-0019 Ph: (727) 848-0800 | Rakesh P Shah Md Pa 4766 Rowan Rd New Port Richey FL 34653-5601 Ph: (727) 848-0800 |
| NPI Number | 1588011696 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Medicare PECOS PAC ID | 1850709387 |
|---|---|
| Medicare Enrollment ID | O20210421001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588011696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME81977 (Florida) | Primary |
| Provider Name | Rakesh P Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748719 PECOS PAC ID: 6103954557 Enrollment ID: I20100506000118 |
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