| Ashok Shah Md Pa | |
|
3808 S Hopkins Ave Titusville FL 32780-5753 | |
| (321) 268-2005 | |
| (321) 264-2235 |
| Full Name | Ashok Shah Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3808 S Hopkins Ave, Titusville, Florida |
| Authorized Official Name and Position | Ashok C Shah (OWNER) |
| Authorized Official Contact | 3212682005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashok Shah Md Pa 3808 S Hopkins Ave Titusville FL 32780-5753 Ph: (321) 268-2005 | Ashok Shah Md Pa 3808 S Hopkins Ave Titusville FL 32780-5753 Ph: (321) 268-2005 |
| NPI Number | 1720259930 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 2567531825 |
|---|---|
| Medicare Enrollment ID | O20080513000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720259930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashok C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760476766 PECOS PAC ID: 5395814651 Enrollment ID: I20080513000576 |
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