Mahendra D.Shah,M.D.& Associates,P.C.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

0101045906 Issued in VA

Legal business name

MAHENDRA D.SHAH,M.D.& ASSOCIATES,P.C.

Practice address

4207 Whitford CT
# 1703
Glen Allen, VA 23060-4138

Phone

(180) 476-1016

Fax

(180) 476-1016

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mahendra Devshibhai Shah, M.D.

Title

Director

Phone

(180) 476-1016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407908445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 WHITFORD CT",
            "address_2": "# 1703",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604138",
            "telephone_number": "180-476-1016",
            "fax_number": "180-476-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 WHITFORD CT",
            "address_2": "# 1703",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604138",
            "telephone_number": "180-476-1016",
            "fax_number": "180-476-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRA D.SHAH,M.D.& ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "DEVSHIBHAI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "180-476-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "VA",
            "license": "0101045906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Allen Macilwaine, DDS
• Samantha Maciolek
• Stacia Macklin
• David Wishart Macmillan, M.D.
• Parthasarathy Madurantakam, DDS
• Mashael Mahmud, PA-C
• May Mahmud
• Shweta Majhi, MD
• Reena Jiten Majithia, FNP-BC
• Sunny Makwana

• Pediatric Gastroenterology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Pediatric Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.