Mahendra Saralal Shah, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

16375 Issued in OK

Practice address

1401 W Locust St
Suite 102
Stilwell, OK 74960-3275

Phone

(918) 696-4065

Fax

(918) 696-5971

NPI assigned

Dec 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1548598345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAHENDRA",
        "middle_name": "SARALAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "16375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Renee Seaton, A.A.
• Jessica D Seay
• Denise Sellers, PTA
• Ruth Sellers
• Buffie Jo Sells
• Karen Shell
• Courtney Simon
• Brianna Smith, BS
• Cynthia Sydney Smith, LPC
• Edith Elois Smith

• Urology Physician in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.