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

Dr. Siddharaj Gautam Shah, MD

Individual provider Internal Medicine Physician · NPI 1700128758

Dr. Siddharaj Gautam Shah, MD is an Internal Medicine in Orlando, Florida. Qualified in 2013, 13 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

86 W Underwood St Mp 80
Orlando, FL 32806-2008
Phone: (888) 912-3648
Fax: (321) 841-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 W Pineloch Ave Ste 23, Orlando, FL 32806-6100 — (407) 852-2760

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME127548 (FL)

Record details

NPI number1700128758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2013
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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