Provider Demographics
NPI:1952475592
Name:SHAH, LALIT K (MD)
Entity Type:Individual
Prefix:
First Name:LALIT
Middle Name:K
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 CONCORD TER
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2843
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-958-4853
Practice Address - Street 1:4725 N FEDERAL HWY
Practice Address - Street 2:NICU 2ND FLOOR HOLY CROSS HOSPITAL
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4603
Practice Address - Country:US
Practice Address - Phone:954-776-3151
Practice Address - Fax:954-958-4853
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-06-11
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Provider Licenses
StateLicense IDTaxonomies
FLME00532622080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine