Organization Active NPI

Shah Medical Consulting LLC

  • Internal Medicine Physician
  • Davenport, IA
National Provider Identifier
1598192544
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35468 Issued in IA
Legal business name
SHAH MEDICAL CONSULTING LLC
Practice address
2206 E 52ND St Ste a
Davenport, IA 52807-2790
Phone
(563) 340-8979
NPI assigned
Oct 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Authorized official

Name
Dr. Sayed A Shah, MD
Title
Co-Owner
Phone
(563) 340-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35468 IA Primary

Addresses

Primary practice location

2206 E 52ND St Ste a
Davenport, IA 52807-2790

Mailing address

2206 E 52ND St Ste a
Davenport, IA 52807-2790
Phone (563) 340-8979

Other identifiers 2

IdentifierTypeStateIssuer
35468OtherIAIA LICENSE
036110953OtherILIL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1598192544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E 52ND ST STE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072790",
            "telephone_number": "563-340-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 E 52ND ST STE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072790",
            "telephone_number": "563-340-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "563-340-8979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "35468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE",
            "identifier": "35468",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036110953",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.