Shah, Sagar Ajay
Shah, Sagar Ajay is an individual health care provider with primary practice located at 10954 Sheldon Rd , Tampa FL 33626-4701. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Shah, Sagar Ajay can be contacted via phone (813) 499-0787.Contact Information
Primary practice address
10954 Sheldon Rd
Tampa FL 33626-4701
Phone: (813) 499-0787
Fax: (813) 576-3883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | PO4350 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO4350 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO4350 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO4350 | Florida |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO4350 | Florida |
Profile Details
| NPI number | 1609254473 |
|---|---|
| LBN Legal business name | Shah, Sagar Ajay |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2015 |
| Last updated | Feb 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609254473 | NPPES |
| Florida | MEDICAID | 113187800 | |
| Florida | Other | 14283409 | |
| Florida | Other | 6356450 | |
| Florida | Other | 3276883 | |
| Florida | Other | JJJK5 |
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