Active NPI
Tara P Shah ,MD , PC
- Obstetrics & Gynecology Physician
- Rochester Hills, MI
National Provider Identifier
1013174382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- TS036111
- Legal business name
- TARA P SHAH ,MD , PC
- Practice address
- 2950 Crooks Road
Rochester Hills, MI 48309-2950 - Phone
- (248) 853-5093
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tara P Shah, M.D
- Title
- President
- Phone
- (248) 853-5093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TS036111 | MI | Primary |
Addresses
Primary practice location
2950 Crooks Road
Rochester Hills, MI 48309-2950
Mailing address
2950 Crooks Road
Rochester Hills, MI 48309-2950
Phone (248) 853-5093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2094060 MI | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
2950 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 844-9733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1013174382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CROOKS ROAD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483092950",
"telephone_number": "248-853-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CROOKS ROAD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483092950",
"telephone_number": "248-853-5093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA P SHAH ,MD , PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-853-5093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "TS036111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2094060 MI",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.