NPIMap

Organization Active NPI

D.K Shah MD PC

  • Gastroenterology Physician
  • Kingston, NY
National Provider Identifier
1346598745
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
002092-1 Issued in NY
Legal business name
D.K SHAH MD PC
Practice address
33 Grand St
Grand Street Gastroenterology
Kingston, NY 12401-3933
Phone
(845) 338-2300
Fax
(845) 338-9711
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Mr. Amjad Khan
Title
Billing Manager
Phone
(845) 338-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 002092-1 NY Primary

Addresses

Primary practice location

33 Grand St
Grand Street Gastroenterology
Kingston, NY 12401-3933

Mailing address

33 Grand St
Grand Street Gastroenterology
Kingston, NY 12401-3933
Phone (845) 338-2300

Other names 1

  • GRAND STREET MEDICAL ASSOCIATES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DK Shah MD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1346598745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GRAND ST",
            "address_2": "GRAND STREET GASTROENTEROLOGY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-2300",
            "fax_number": "845-338-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GRAND ST",
            "address_2": "GRAND STREET GASTROENTEROLOGY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-2300",
            "fax_number": "845-338-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.K SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "845-338-1535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "002092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND STREET MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.