Sangeeta A Shah, M.D

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

R03928 Issued in LA

Practice address

211 Kaliste Saloom Rd
Lafayette, LA 70508

Phone

(337) 235-1166

Fax

(337) 235-1168

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Welliness & Longevity Center

  • Specialist
  • Lafayette, LA
  • NPI 1316070170
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336261635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ISLAND PT",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087018",
            "telephone_number": "337-981-7205",
            "fax_number": "337-235-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-235-1166",
            "fax_number": "337-235-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANGEETA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "R03928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D Settles, PSY.D.
• Lena Opitz Sevin, PA-C
• Stephen D Seymour, D.O.
• Brianna L Shaffer, MD
• Sagar Amit Shah, MD
• Bushra Firdous Shaik, MD
• Shameem Akhtar, MD Apmc (shameem akhtar)
• Shamrock Enterprises, L.L.C. (Shamrock DME)
• Taylor Houston Shank, DDS
• Susila Shanmuganathan, M.D.

• Adult Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Adult Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.