Shahzad Shahmalak, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37087 Issued in KY

Practice address

1814 Cumberland Ave
Middlesboro, KY 40965-1229

Phone

(606) 242-2519

Fax

(606) 242-2520

NPI assigned

Jul 30, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Appalachian Regional Healthcare, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881

  Psychiatry

  NPD (past)
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  NPD (past)
• Cumberland River Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Corbin, KY
  • NPI 1902023526
  NPD (past)
• Rehabilitation Drug Services Inc

  • Psychiatry Physician
  • Middlesboro, KY
  • NPI 1629101068
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376558148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651229",
            "telephone_number": "606-242-2519",
            "fax_number": "606-242-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651229",
            "telephone_number": "606-242-2519",
            "fax_number": "606-242-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHMALAK",
        "first_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "37087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanie Roper
• James Rose
• Carolyn Michelle Davis Rutherford, ARNP
• Christina Sands, M.S.
• Jerebeth Glenae Saylor
• Leigh Anne Shumate, MS CCC-SLP
• Dustin Michael Simpson I, FNP
• Katie Ruth Simpson, FNP
• Daniel Slusher, D.M.D.
• Joseph Brian Slusher, M.D.

• Psychiatry Physician in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Psychiatry Physician in Kentucky

• 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.