Kruti Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KRUTI INTERNAL MEDICINE

Practice address

1724 Daffodil TRL
Poland, OH 44514-5210

Phone

(330) 502-2194

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kruti Shah, MDNPI 1891751780

Title

Owner

Phone

(330) 502-2194

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.

• Kruti Munir Shah, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Boardman, OH
  • NPI 1891751780
  NPD (past) Authorized official
• Bhagwan Dass, MD

  • Hospitalist Physician
  • Gainesville, FL
  • NPI 1427031145

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356485486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 DAFFODIL TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145210",
            "telephone_number": "330-502-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 DAFFODIL TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145210",
            "telephone_number": "330-502-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUTI INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KRUTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-502-2194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521944",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita R. Koch, RN CNS
• Jason Joseph Koenig, NP-C
• Angelo John Kostas, RD
• James N Kozlow, D.D.S
• James J. Krumpak III, DC
• Dan J Kulifay II
• Charity Anne Kurz, LPCC (OH), LPC (TX)
• Laboratory Corporation of America Holdings
• Julianne Renee Laird, COTA/L
• Deena Lambert, PT

• Internal Medicine Physician in Poland, OH
• Providers in Poland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.