Organization Active NPI

Hare Krishna Medical Care PA

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1164667879
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HARE KRISHNA MEDICAL CARE PA
Practice address
1524 SE 3Rd Ave
Fort Lauderdale, FL 33316-2502
Phone
(954) 763-6188
Fax
(954) 763-6199
NPI assigned
Dec 9, 2008
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Kishor O Sheth, M.D.
Title
President
Phone
(917) 373-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1524 SE 3Rd Ave
Fort Lauderdale, FL 33316-2502

Mailing address

5347 SW 34TH Ter
Fort Lauderdale, FL 33312-5552
Phone (954) 763-6188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1164667879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 SW 34TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125552",
            "telephone_number": "954-763-6188",
            "fax_number": "954-763-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SE 3RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162502",
            "telephone_number": "954-763-6188",
            "fax_number": "954-763-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARE KRISHNA MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "19173732774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.