Provider Demographics
NPI:1457675076
Name:SHINGALA, MAHESH B (RPH)
Entity Type:Individual
Prefix:
First Name:MAHESH
Middle Name:B
Last Name:SHINGALA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8147 BRINEGAR CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1769
Mailing Address - Country:US
Mailing Address - Phone:813-971-9966
Mailing Address - Fax:
Practice Address - Street 1:32765 EILAND BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33545-5268
Practice Address - Country:US
Practice Address - Phone:813-779-2510
Practice Address - Fax:813-779-2814
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist