| | Physician Last Name: | Shah |
| | Physician First Name: | Atul |
| | Physician Middle Name: | R |
| | Address: | 12613 Caramaran Place
Tampa, Florida 33624 |
| | License Number: | 189453 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 11/25/1994 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician admitted that his application for medical licensure was denied by the New Jersey State Board of Medical Examiners for making false statements on the application. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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