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1891010476
NISHAN ANILKUMAR SHAH
BRADENTON, FL
NPI
1891010476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL 123001)
Enumeration Date
2010-04-07
Last Update Date
2016-11-14
Business Address
-- NISHAN ANILKUMAR SHAH MD
2020 59TH ST W
BRADENTON, FL 34209-4604
Phone number: 941-792-6611
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Mailing Address
-- NISHAN ANILKUMAR SHAH MD
1313 VINETREE DR
BRANDON, FL 33510-2091
Phone number: 813-480-3563
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