Mubarik Ahmad Shah MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME89362 Issued in FL

Legal business name

MUBARIK AHMAD SHAH MD PA

Practice address

3918 Via Poinciana
Suite 10
Lake Worth, FL 33467-2991

Phone

(561) 721-3939

Fax

(561) 439-6851

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mubarik A Shah, M.D.NPI 1538152624

Title

President

Phone

(561) 721-3939

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mubarik Ahmad Shah, MD

  • Surgery Physician
  • Port Tobacco, MD
  • NPI 1538152624
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1467640151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA",
            "address_2": "SUITE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-721-3939",
            "fax_number": "561-439-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA",
            "address_2": "SUITE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-721-3939",
            "fax_number": "561-439-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUBARIK AHMAD SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUBARIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-721-3939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME89362",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME89362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison D Moyel, MSW. LCSW
• Shannon Moyel
• Moyenda Holistic Health Inc
• Zakiya Bomani Moyenda, M.D.
• MRI Radiology Network PA
• Saima Mufti, M.D
• Connie Mullen, LM, CPM
• Multi-Care Medical of Lake Worth PLLC
• Dacia Michelle Munoz Discua
• Esmeralda Munoz

• Surgery Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.