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SHAHLA MEDICAL GROUP PA NPI 1902833288


NPI Information

NPI: 1902833288
Provider Name: SHAHLA MEDICAL GROUP, PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
8800 TERRENE CT STE 102
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 948-3444
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SHAHLA MEDICAL GROUP, PA is an internal medicine in Bonita Springs, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHAHLA MEDICAL GROUP, PA NPI is 1902833288. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8800 TERRENE CT STE 102
BONITA SPRINGS, FL
ZIP 34135-900
Phone: (239) 948-3444
Fax: (239) 948-9028

The provider's authorized official is Ziad Shahla .
The authorized official title is President and has the following contact phone number (239) 948-3444.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 8/1/2011.


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
1207R00000XInternal MedicineME0066854FLORIDAYes

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
126304OTHERFLORIDABC
2F92847MEDICARE UPINFLORIDA
3N/AMEDICAIDFLORIDA
4110188758OTHERFLORIDARAILROAD MEDICARE

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: 11/14/2023

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