NPIMap

Organization Active NPI

Aitazaz a. Shah M.D PA

  • Clinic/Center
  • Denton, TX
National Provider Identifier
1376729194
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
L9471 Issued in TX
Legal business name
AITAZAZ A. SHAH M.D PA
Practice address
2900 N I-35
Suite 118
Denton, TX 76201-5141
Phone
(940) 380-8100
Fax
(940) 380-8112
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Aitazaz A Shah, M.DNPI 1982627527
Title
President
Phone
(940) 380-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X L9471 TX Primary

Addresses

Primary practice location

2900 N I-35
Suite 118
Denton, TX 76201-5141

Mailing address

2900 N I-35
Suite 118
Denton, TX 76201-5141
Phone (940) 380-8100

Other identifiers 3

IdentifierTypeStateIssuer
1753279MedicaidTX
0001MSOtherTXBSBS OF TEXAS
8F0492OtherTXMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1376729194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N I-35",
            "address_2": "SUITE 118",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015141",
            "telephone_number": "940-380-8100",
            "fax_number": "940-380-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N I-35",
            "address_2": "SUITE 118",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015141",
            "telephone_number": "940-380-8100",
            "fax_number": "940-380-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITAZAZ A. SHAH M.D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AITAZAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-380-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "L9471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1753279",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS OF TEXAS",
            "identifier": "0001MS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8F0492",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.