Organization Active NPI

Shailesh Shah LLC

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1386000792
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHAILESH SHAH LLC
Practice address
8250 Lake Serene Dr
Orlando, FL 32836-5023
Phone
(321) 800-7270
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shailesh Shah, M.D.
Title
Ambr
Phone
(321) 800-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

8250 Lake Serene Dr
Orlando, FL 32836-5023

Mailing address

8250 Lake Serene Dr
Orlando, FL 32836-5023
Phone (321) 800-7270

Other identifiers 1

IdentifierTypeStateIssuer
378928400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1386000792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 LAKE SERENE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365023",
            "telephone_number": "321-800-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 LAKE SERENE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365023",
            "telephone_number": "321-800-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAILESH SHAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "321-800-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378928400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.