Active NPI
Shfaha Inc
- Nephrology Physician
- Fort Thomas, KY
National Provider Identifier
1477144491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SHFAHA INC
- Practice address
- 960 Highland Ave
Fort Thomas, KY 41075-1707 - Phone
- (502) 525-3455
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad Anjak, MD
- Title
- Director / Owner
- Phone
- (502) 525-3455
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
960 Highland Ave
Fort Thomas, KY 41075-1707
Mailing address
4392 Dorchester CT
West Chester, OH 45069-8699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1477144491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4392 DORCHESTER CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450698699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 HIGHLAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751707",
"telephone_number": "502-525-3455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHFAHA INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "ANJAK",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "DIRECTOR / OWNER",
"authorized_official_telephone_number": "502-525-3455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.