Mubarik Ahmad Shah MD PA
Surgery in Lake Worth, FL. Organization (NPI-2).
NPI number1467640151
StatusActive
Last updated in NPPESNov 26, 2007
Details
- NPI
- 1467640151
- Entity type
- Organization (NPI-2)
- Legal business name
- Mubarik Ahmad Shah MD PA
- Organization subpart
- No
- Enumeration date
- Oct 9, 2007
- Last updated
- Nov 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME89362 | FL | Yes |
| 2086S0129X | ME89362 | FL |
Practice location
3918 Via PoincianaSuite 10
Lake Worth, FL 33467-2991
Phone 561-721-3939 · Fax 561-439-6851
Mailing address
3918 Via PoincianaSuite 10
Lake Worth, FL 33467-2991
Phone 561-721-3939 · Fax 561-439-6851
Authorized official
Mubarik A Shah
President
5617213939
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