Shah Medical Group Apmc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

L40598R Issued in LA

Legal business name

SHAH MEDICAL GROUP APMC

Practice address

5607 Mirador Cir
Shreveport, LA 71119-4009

Phone

(318) 671-1745

NPI assigned

May 23, 2007

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mrunalini B Shah, MD

Title

Owner

Phone

(318) 671-1745

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Sally Anne Benyahia, N.P.

  • Family Nurse Practitioner
  • Kenner, LA
  • NPI 1588626782

  Physical Medicine & Rehabilitation

  NPD (past)
• James Wright Brooks II, CFNP/APRN

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1508843541
  NPD (past)
• Donald B Smith, NP

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1407842644
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1235349929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3591",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711333591",
            "telephone_number": "318-671-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 MIRADOR CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711194009",
            "telephone_number": "318-671-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH MEDICAL GROUP APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MRUNALINI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-671-1745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "L40598R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick E. Sewell Sr., M.D.
• Stephanie M Sexton
• Elizabeth Shackelford, M.A.
• Kywanna Shackelford, M.A.
• Nicolette Denee Shafto, PA
• Mila D Shah-Bruce, M.D.
• Amber M Shah, M.D.
• Beejal Mukund Shah, PHARM.D.
• Hetvi Shah
• Kashish Jigarkumar Shah, M.B.B.S.

• Physical Medicine & Rehabilitation Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.