Bhadra Shah MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

111592 Issued in NY

Legal business name

BHADRA SHAH MD PC

Practice address

303 Second Ave
Suite 9
New York, NY 10003-2746

Phone

(212) 777-3920

Fax

(212) 614-9376

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bhadra B Shah, MD

Title

President

Phone

(212) 777-3920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1306044862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SECOND AVE",
            "address_2": "SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032746",
            "telephone_number": "212-777-3920",
            "fax_number": "212-614-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SECOND AVE",
            "address_2": "SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032746",
            "telephone_number": "212-777-3920",
            "fax_number": "212-614-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHADRA SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHADRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-777-3920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "111592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002011343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in New York, NY
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.