Kanti Hiralal Shah, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

4301032767 Issued in MI

Practice address

814 N Macomb St
Monroe, MI 48162-2930

Phone

(734) 243-5720

Fax

(734) 243-9261

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1205851326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622930",
            "telephone_number": "734-243-5720",
            "fax_number": "734-243-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622930",
            "telephone_number": "734-243-5720",
            "fax_number": "734-243-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KANTI",
        "middle_name": "HIRALAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301032767",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301032767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054463",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Sethi, N.P.
• Lauren Sevenbergen, BSW
• Alyssa Sexton, D.O.
• Anupama A Shah, M.D.
• Ashwin H Shah, MD
• Smita Shah, DDS
• Fehad Wasfi Shalhout, MD
• Patric G Shamoon, MD
• Jennifer Shankland, LLP
• Shapoor S Ansari PC

• Allergy Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Allergy Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.