BRIAN SHAH MD PLLC NPI 1205573144

NPI Information

  • NPI: 1205573144
  • Provider Name: BRIAN SHAH, MD, PLLC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 131 2ND AVE S
    SAINT PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 823-3220

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NPI Details

BRIAN SHAH, MD, PLLC is an oral and maxillofacial surgery clinic center in Saint Petersburg, FL. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BRIAN SHAH, MD, PLLC NPI is 1205573144. The provider is registered as an organization entity type.

The provider's business location address is:

131 2ND AVE S
SAINT PETERSBURG, FL
ZIP 33701-382
Phone: (727) 823-3220

The provider's authorized official is Brian Shah .
The authorized official title is Owner and has the following contact phone number (727) 823-3220.

The enumeration date for this NPI number is 5/12/2022 and was last updated on 5/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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