Whalio Doctors

NPI 1467640151

Mubarik Ahmad Shah MD PA

Organisation Surgery Physician Lake Worth, FL

Practice location

Address
3918 Via Poinciana Suite 10, Lake Worth, FL 33467-2991
Phone
(561) 721-3939
Fax
(561) 439-6851

Authorised official

Name
Mubarik a Shah
Title
President
Phone
(561) 721-3939

Registered specialties (2)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence ME89362 (FL)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence ME89362 (FL)

Registry record

NPI
1467640151
Entity type
Organization
NPI issued
9 Oct 2007
Record last updated
26 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.