Organization Active NPI

Anand G. Shah, MD, PA

  • Facial Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1386070399
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
M8988 Issued in TX
Legal business name
ANAND G. SHAH, MD, PA
Doing business as
Anand G. Shah, MD
Practice address
18838 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-4113
Phone
(210) 833-7972
Fax
(210) 745-2971
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Dr. Anand Gopal Shah, MDNPI 1205903077
Title
President
Phone
(210) 833-7972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X M8988 TX Primary

Addresses

Primary practice location

18838 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-4113

Mailing address

18838 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-4179
Phone (210) 833-7972

Other identifiers 1

IdentifierTypeStateIssuer
207808103MedicaidTX

Other names 1

  • Anand G. Shah, MD Doing business as

National Provider Directory

National Provider Directory

Locations

18838 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 315-3684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1386070399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-833-7972",
            "fax_number": "210-745-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584113",
            "telephone_number": "210-833-7972",
            "fax_number": "210-745-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAND G. SHAH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "GOPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-833-7972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "M8988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207808103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anand G. Shah, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.