DR. KREESHA SHAH MD NPI 1235984543

NPI Information

  • NPI: 1235984543
  • Provider Name: DR. KREESHA SHAH, MD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1600 SW ARCHER ROAD
    PO BOX 100247
    GAINESVILLE, FL
    ZIP 32610
  • Phone: (352) 273-8634

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NPI Details

DR. Kreesha Shah, MD is a student in an organized health care education training program in Gainesville, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kreesha Shah, MD NPI is 1235984543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 SW ARCHER ROAD
PO BOX 100247
GAINESVILLE, FL
ZIP 32610-247
Phone: (352) 273-8634

The enumeration date for this NPI number is 4/19/2024 and was last updated on 4/19/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

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