Provider Demographics
NPI:1679537153
Name:D'CUNHA, SHILPA (MD)
Entity type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:
Last Name:D'CUNHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHILPA
Other - Middle Name:
Other - Last Name:PRATAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1245 KINGS WAY LN
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-7659
Mailing Address - Country:US
Mailing Address - Phone:727-934-9383
Mailing Address - Fax:
Practice Address - Street 1:301 S DISSTON AVE
Practice Address - Street 2:PINELLAS COUNTY HEALTH DEPT
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4411
Practice Address - Country:US
Practice Address - Phone:727-942-5457
Practice Address - Fax:727-942-5467
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 90916207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274717100Medicaid