Organization Active NPI

Raza Shah M.D., P.a.

  • Pulmonary Disease Physician
  • Orlando, FL
National Provider Identifier
1982834735
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME68053 Issued in FL
Legal business name
RAZA SHAH M.D., P.A.
Practice address
9430 Turkey Lake Rd
Ste 108
Orlando, FL 32819-8015
Phone
(407) 248-9800
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Raza Shah, MD
Title
Physician-Owner
Phone
(407) 248-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME68053 FL Primary

Addresses

Primary practice location

9430 Turkey Lake Rd
Ste 108
Orlando, FL 32819-8015

Mailing address

PO Box 690493
Orlando, FL 32869-0493
Phone (407) 248-9800

Other identifiers 1

IdentifierTypeStateIssuer
378390100MedicaidFL

National Provider Directory

National Provider Directory

Locations

7319 Stonerock Cir
Ste 10
Orlando, FL 32819

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1982834735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690493",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328690493",
            "telephone_number": "407-248-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 TURKEY LAKE RD",
            "address_2": "STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198015",
            "telephone_number": "407-248-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZA SHAH M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAZA",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "407-248-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME68053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378390100",
            "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 Jul 15, 2009; 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.