Provider Demographics
NPI:1295456374
Name:SHAH, ERIKA (AP DAOM)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:AP DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 S DIXIE HWY APT 1403
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2892
Mailing Address - Country:US
Mailing Address - Phone:305-776-8392
Mailing Address - Fax:
Practice Address - Street 1:475 BILTMORE WAY STE 403
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5758
Practice Address - Country:US
Practice Address - Phone:305-776-8392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4273171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist