NPIMap

Organization Active NPI

Shah Medical Center LLC

  • Internal Medicine Physician
  • Durant, OK
National Provider Identifier
1386934248
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23224 Issued in OK
Legal business name
SHAH MEDICAL CENTER LLC
Practice address
720 Bryan Dr
Suite a
Durant, OK 74701-7032
Phone
(580) 924-2424
Fax
(580) 924-2425
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Ali Aksar Shah, M.D.
Title
President
Phone
(580) 924-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 23224 OK Primary

Addresses

Primary practice location

720 Bryan Dr
Suite a
Durant, OK 74701-7032

Mailing address

PO Box 671
Durant, OK 74702-0671
Phone (580) 924-2424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1386934248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747020671",
            "telephone_number": "580-924-2424",
            "fax_number": "580-924-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BRYAN DR",
            "address_2": "SUITE A",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017032",
            "telephone_number": "580-924-2424",
            "fax_number": "580-924-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "AKSAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-924-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.