Provider Demographics
NPI:1578844437
Name:SHAH, FALGUNI
Entity Type:Individual
Prefix:
First Name:FALGUNI
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FALGUNI
Other - Middle Name:KISHOR
Other - Last Name:JANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 WEATHERSFIELD AVE N
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-6816
Mailing Address - Country:US
Mailing Address - Phone:407-774-7274
Mailing Address - Fax:407-774-7274
Practice Address - Street 1:127 WEATHERSFIELD AVE N
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-6816
Practice Address - Country:US
Practice Address - Phone:407-774-7274
Practice Address - Fax:407-774-7274
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty