Active NPI
Sanjay N Shah MD Inc
- Diagnostic Radiology Physician
- Dover, OH
National Provider Identifier
1073791034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35037051
- Legal business name
- SANJAY N SHAH MD INC
- Practice address
- 847 Boulevard
Dover, OH 44622 - Phone
- (330) 343-1900
- Fax
- (330) 364-6891
- NPI assigned
- Feb 1, 2008
- Organization subpart
- Yes
- Parent organization
- SANJAY N SHAH MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjay N Shah, MD
- Title
- Owner
- Phone
- (330) 343-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35037051 | OH | Primary |
Addresses
Primary practice location
847 Boulevard
Dover, OH 44622
Mailing address
847 Boulevard
Dover, OH 44622
Phone (330) 343-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9284081 | Medicaid | OH | |
| 35086 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Sanjay N Shah MD Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dennison, OH
- NPI 1043231459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1073791034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 BOULEVARD",
"city": "DOVER",
"state": "OH",
"postal_code": "44622",
"telephone_number": "330-343-1900",
"fax_number": "330-364-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 BOULEVARD",
"city": "DOVER",
"state": "OH",
"postal_code": "44622",
"telephone_number": "330-343-1900",
"fax_number": "330-364-6891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANJAY N SHAH MD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANJAY N SHAH MD INC",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SANJAY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-343-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35037051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9284081",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35086",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.