NPIMap

Organization Active NPI

Shah Diagnostic Imaging Services

  • Diagnostic Radiology Physician
  • Elko, NV
National Provider Identifier
1144537416
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41793 Issued in AZ
Legal business name
SHAH DIAGNOSTIC IMAGING SERVICES
Practice address
2001 Errecart Blvd
Elko, NV 89801-8333
Phone
(775) 748-2037
Fax
(775) 748-2288
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bobby A Shah, M.D.
Title
Partner
Phone
(219) 677-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 41793 AZ Primary

Addresses

Primary practice location

2001 Errecart Blvd
Elko, NV 89801-8333

Mailing address

5 Mountain Cove CT
Henderson, NV 89052-6680
Phone (219) 677-6801

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1144537416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNTAIN COVE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526680",
            "telephone_number": "219-677-6801",
            "fax_number": "773-751-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-748-2037",
            "fax_number": "775-748-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH DIAGNOSTIC IMAGING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "219-677-6801",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "41793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.