Jagdish a. Shah,MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J2792 Issued in TX

Legal business name

JAGDISH A. SHAH,MD

Practice address

1220 East 6TH Street
Bonham, TX 75418

Phone

(903) 583-7424

Fax

(903) 583-0442

NPI assigned

May 3, 2007

Last updated

Jul 8, 2010By 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

Jagdish Amratlal Shah, M.D.NPI 1497834816

Title

Owner

Phone

(903) 583-7424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Jagdish Amratlal Shah, M.D.

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1497834816
  Authorized official Same address or phone
• Zarin Kidwai, MD

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1861434375
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1275745465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 6TH ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184017",
            "telephone_number": "903-583-7424",
            "fax_number": "903-583-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EAST 6TH STREET",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "75418",
            "telephone_number": "903-583-7424",
            "fax_number": "903-583-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGDISH A. SHAH,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "AMRATLAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-583-7424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080892501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Houser
• Candace Hunnicutt
• Illuminate Hope Counseling, PLLC
• Shava Lynne Ivery, LCSW
• Veronica Jackson, LCSW
• Muhammad A Jan, M.D.
• Jeff Duncan M.D.
• John a Carter Jr OD PC (Bonham Optical)
• John a. Carter, Jr., O.D., P.a. (Bonham Optical)
• Lesly Johnson, LMSW

• Internal Medicine Physician in Bonham, TX
• Providers in Bonham, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.