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DR. CHETAN CHANDULAL SHAH M.B.B.S NPI 1346446911


NPI Information

NPI: 1346446911
Provider Name: DR. CHETAN CHANDULAL SHAH, M.B.B.S
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0291
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DR. Chetan Chandulal Shah, M.B.B.S is a pediatric radiology radiology in Gainesville, FL with 32 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Chetan Chandulal Shah, M.B.B.S NPI is 1346446911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-426
Phone: (352) 265-0291
Fax: (352) 265-0279

The NPI 1346446911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 1/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyE-5677ARKANSASNo
22085P0229XRadiologyPediatric RadiologyC10010212DELAWARENo
32085P0229XRadiologyPediatric RadiologyE-5677ARKANSASNo
42085P0229XRadiologyPediatric RadiologyME113302FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1006569400MEDICAIDFLORIDA
2170947001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.