Hassan Murtaza Shah, MBBS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101258793 Issued in VA

Practice address

1201 Broad Rock Blvd # 116a
Richmond, VA 23249-5024

Phone

(804) 675-5000

Fax

(804) 675-5860

NPI assigned

May 31, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578900593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "MAIL CODE 116A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23249",
            "telephone_number": "804-675-5000",
            "fax_number": "804-675-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD # 116A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232495024",
            "telephone_number": "804-675-5000",
            "fax_number": "804-675-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HASSAN",
        "middle_name": "MURTAZA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101258793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biren A. Shah, M.D.
• Devang M Shah, MD
• Devin J Shah
• Dhara Shah
• Dimal D Shah, M.D.
• Ishan Tarun Shah
• Jagdip Bhalchandra Shah, MD
• Jasmine Shah, MD
• Keyur Bharat Shah, MD
• Lisa Lynn Shah, RN, PHD

• Psychiatry Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.