Active NPI
Kalyani Shah, MD, Inc
Doing business as Fresno Medical Specialists
- Internal Medicine Physician
- Fresno, CA
National Provider Identifier
1265875512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KALYANI SHAH, MD, INC
- Doing business as
- Fresno Medical Specialists
- Practice address
- 6335 N Fresno St
Suite 102
Fresno, CA 93710-5272 - Phone
- (559) 412-5955
- NPI assigned
- Apr 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kalyani K Shah, M.D.
- Title
- President
- Phone
- (559) 412-5955
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Gastroenterology Physician | 207RG0100X |
Addresses
Primary practice location
6335 N Fresno St
Suite 102
Fresno, CA 93710-5272
Mailing address
PO Box 4044
Clovis, CA 93613-4044
Phone (559) 412-5955
Other names 1
- Fresno Medical Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1265875512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4044",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936134044",
"telephone_number": "559-412-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 N FRESNO ST",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105272",
"telephone_number": "559-412-5955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALYANI SHAH, MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "KALYANI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-412-5955",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fresno Medical Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.