Individual provider · Type 1 NPI

Manali R. Shah, PA

Medical Physician Assistant · Winter Park, FL

NPI number 1164664363 Active

Practice location

460 N Orlando Ave, Ste 200 Bldg D
Winter Park, FL 32789-2988

Call (407) 898-5452 Map

Fax (407) 894-1183

Mailing address

PO Box 102222, Attn: Credentialing Department
Atlanta, GA 30368-2222

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105712 (FL)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1164664363

Manali R. Shah, PA's National Provider Identifier is 1164664363, issued on Apr 2, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winter Park, FL. The record was last updated on Jul 2, 2026.