Active NPI
Piyush J Shah, MD
- General Practice Physician
- Canton, MI
National Provider Identifier
1083812457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301033313
- Practice address
- 7283 Kingsbridge Court
Canton, MI 48187-2407 - Phone
- (734) 459-0716
- Fax
- (734) 459-0716
- NPI assigned
- Jul 6, 2007
- Last updated
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301033313 | MI | Primary |
Addresses
Primary practice location
7283 Kingsbridge Court
Canton, MI 48187-2407
Mailing address
7283 Kingsbridge Court
Canton, MI 48187-2407
Phone (734) 459-0716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1083812457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7283 KINGSBRIDGE COURT",
"city": "CANTON",
"state": "MI",
"postal_code": "481872407",
"telephone_number": "734-459-0716",
"fax_number": "734-459-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7283 KINGSBRIDGE COURT",
"city": "CANTON",
"state": "MI",
"postal_code": "481872407",
"telephone_number": "734-459-0716",
"fax_number": "734-459-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PIYUSH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301033313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.