NPIMap

Organization Active NPI

Shah Pediatrics,Inc

  • Pediatrics Physician
  • Lawrenceville, GA
National Provider Identifier
1164698395
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SHAH PEDIATRICS,INC
Practice address
310 Philip Blvd
Lawrenceville, GA 30045-8700
Phone
(770) 962-3141
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Taru N ShahNPI 1982796884
Title
Pediatric Doctor
Phone
(770) 962-3141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

310 Philip Blvd
Lawrenceville, GA 30045-8700

Mailing address

310 Philip Blvd
Lawrenceville, GA 30045-8700
Phone (770) 962-3141

National Provider Directory

National Provider Directory

Locations

310 Philip Blvd
Lawrenceville, GA 30046
Phone (678) 985-0238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1164698395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458700",
            "telephone_number": "770-962-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458700",
            "telephone_number": "770-962-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH PEDIATRICS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TARU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PEDIATRIC DOCTOR",
        "authorized_official_telephone_number": "770-962-3141",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.