M.H. Shah, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-17352 Issued in KS

Legal business name

M.H. SHAH, M.D.

Practice address

1148 S Hillside St Ste 104
Wichita, KS 67211-4005

Phone

(316) 687-0006

Fax

(316) 687-0328

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

M. H. Shah, M.D.

Title

Psychiatrist

Phone

(316) 687-0006

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukhtar H. Shah, M.D.

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1396763827
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1174780118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 S HILLSIDE ST STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114005",
            "telephone_number": "316-687-0006",
            "fax_number": "316-687-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 S HILLSIDE ST STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114005",
            "telephone_number": "316-687-0006",
            "fax_number": "316-687-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.H. SHAH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "316-687-0006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-17352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KS.",
            "identifier": "047770",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088090E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Lynn Lytle, ATC
• Virginia Neuwirth Lytle, RPH, MBA
• M and P Health, LLC
• M-Care Healthcare LLC
• M.D. Gordon O.D., LLC
• M&M Family Dentistry LLC
• Melissa Wanda Ma-Heiman, APRN
• Tiffany N Maat, APRN
• Denise Mabe, MA-CCC SLP
• Robyn Leigh Mabe

• Psychiatry Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.