I. H. Shah, M.D. and S. Hasan, M.D. and Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E0365 Issued in TX

Legal business name

I. H. SHAH, M.D. AND S. HASAN, M.D. AND ASSOCIATES

Practice address

4004 Medical Parkway
Greenville, TX 75401

Phone

(903) 455-4414

Fax

(903) 455-1944

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Iqtidar U H Shah, MD

Title

Group Practitioner General Surgeon

Phone

(903) 408-7130

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1275690232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 MEDICAL PARKWAY",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-455-4414",
            "fax_number": "903-455-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 MEDICAL PARKWAY",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-455-4414",
            "fax_number": "903-455-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. H. SHAH, M.D. AND S. HASAN, M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "IQTIDAR",
        "authorized_official_middle_name": "U H",
        "authorized_official_title_or_position": "GROUP PRACTITIONER GENERAL SURGEON",
        "authorized_official_telephone_number": "903-408-7130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "E0365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081898101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.