Shah, Bobby Ajay

Shah, Bobby Ajay is an individual health care provider with primary practice located at 3275 Sw Darwin Blvd , Port St Lucie FL 34953-3317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shah, Bobby Ajay can be contacted via phone (800) 437-2672.

Contact Information

Primary practice address
3275 Sw Darwin Blvd Port St Lucie FL 34953-3317
Phone: (800) 437-2672
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01056041A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01056041A Indiana

Profile Details

NPI number 1871534925
LBN Legal business name Shah, Bobby Ajay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871534925 NPPES
Indiana MEDICAID 200382730
Indiana Other 300135676

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