Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrea Ellen Clark Shah, MD

Individual provider Pediatrics Physician · NPI 1487987491

Dr. Andrea Ellen Clark Shah, MD is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

14810 Old Saint Augustine Rd Ste 106
Jacksonville, FL 32258-2558
Phone: (904) 268-7701
Fax: (904) 268-9708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME91797 (FL)

Record details

NPI number1487987491
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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