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

Mohan M Shah, MD

Individual provider Family Medicine Physician · NPI 1477515302

Mohan M Shah, MD is a Hospice/Palliative Care in Lakeland, Florida. Qualified in 1981, 45 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
45
Licensed in
FL
In the registry since
2006
Specialties on file
2
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

115 S Missouri Ave Ste 500
Lakeland, FL 33815-4600
Phone: (863) 682-0027
Fax: (863) 682-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL 32934-7215 — (877) 868-4827

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence ME53099 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME53099 (FL)

Record details

NPI number1477515302
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address115 S Missouri Ave, Suite 500, Lakeland, FL 33815-4600

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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