Volusia Primary Care Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME48645 Issued in FL

Legal business name

VOLUSIA PRIMARY CARE ASSOCIATES

Practice address

667 Beville Rd
South Daytona, FL 32119-1952

Phone

(386) 322-2224

Fax

(386) 322-2033

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Indravadan Shah, MD

Title

Physician

Phone

(386) 322-2224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1396946349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JOHN ANDERSON DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321764708",
            "telephone_number": "386-322-2224",
            "fax_number": "386-322-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191952",
            "telephone_number": "386-322-2224",
            "fax_number": "386-322-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA PRIMARY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "INDRAVADAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-322-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Daniel Villasana, MSPT
• Vogel Chiropractic Clinic LLC
• Trudi Ewing Vogel, DC
• Volusia Medical Center LLC (Volusia Medical Center Daytona)
• Volusia Medical Supply Inc.
• W R Munster DC PA
• Laura Wagner, DPT, PT
• Mitchell Ryan Walker, D.P.T.
• Heather Walsh
• We Are One Chiropractic, P.L.

• Internal Medicine Physician in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.