Wake OBGYN P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

98-00139 Issued in NC

Legal business name

WAKE OBGYN P.A.

Practice address

519 Keisler Dr
Suite104
Cary, NC 27511-7098

Phone

(919) 233-8183

Fax

(919) 233-9771

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By 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

Mrs. Nanda Mahendra Shah, M.D.NPI 1144359308

Title

President

Phone

(919) 233-8183

Specialties & licenses 1

Addresses

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.

• Nanda Mahendra Shah, M.D.

  • Obstetrics & Gynecology Physician
  • Cary, NC
  • NPI 1144359308
  NPD (past) Authorized official
• Sujatha Sajeevan, M.D.

  • Family Medicine Physician
  • Cary, NC
  • NPI 1447442983
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366572091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 KEISLER DRIVE",
            "address_2": "SUITE104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187098",
            "telephone_number": "919-233-8183",
            "fax_number": "919-233-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 KEISLER DR",
            "address_2": "SUITE104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117098",
            "telephone_number": "919-233-8183",
            "fax_number": "919-233-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE OBGYN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NANDA",
        "authorized_official_middle_name": "MAHENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-233-8183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "98-00139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wake Family Eye Care OD, PA (Cary Optometry)
• Wake Family Medicine PC
• Wake Heart and Vascular Associates P.a.
• Wake Neurology PLLC
• Wake Neuropathy P.a. (Wake Chiropractic)
• Wake Ophthalmology Associates, PA
• Wake Orthopaedics, LLC
• Wake Pediatric Speech Therapy
• Wake Pet Services LLC
• Wake Plastic Surgery, PLLC

• Obstetrics & Gynecology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• 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.