Provider Demographics
NPI:1679513295
Name:SHAH, HIRAL KIRTIKANT (MD)
Entity Type:Individual
Prefix:DR
First Name:HIRAL
Middle Name:KIRTIKANT
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-0394
Mailing Address - Country:US
Mailing Address - Phone:727-966-4673
Mailing Address - Fax:727-608-5464
Practice Address - Street 1:3280 N MCMULLEN BOOTH RD STE 150
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2046
Practice Address - Country:US
Practice Address - Phone:727-966-4673
Practice Address - Fax:727-608-5464
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95452174400000X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No174400000XOther Service ProvidersSpecialist