Active NPI
Milan R. Shah, M.D.
- Internal Medicine Physician
- Bakersfield, CA
National Provider Identifier
1407818461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A87663
- Practice address
- 4850 Commerce Dr
Bakersfield, CA 93309-0415 - Phone
- (661) 665-0191
- Fax
- (661) 872-3366
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A87663 | CA | Primary |
Addresses
Primary practice location
4850 Commerce Dr
Bakersfield, CA 93309-0415
Mailing address
4850 Commerce Dr
Bakersfield, CA 93309-0415
Phone (661) 665-0191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87663 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407818461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 COMMERCE DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090415",
"telephone_number": "661-665-0191",
"fax_number": "661-872-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 COMMERCE DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090415",
"telephone_number": "661-665-0191",
"fax_number": "661-872-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MILAN",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A87663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.