NPIMap

Organization Active NPI

Mukund K Shah M D Inc

  • Hematology & Oncology Physician
  • Parkersburg, WV
National Provider Identifier
1609970136
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MUKUND K SHAH M D INC
Practice address
1903 Ann St
Parkersburg, WV 26101-2504
Phone
(304) 424-4578
Fax
(304) 424-4209
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Mukund K Shah, MDNPI 1194829721
Title
President
Phone
(304) 424-4578

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1903 Ann St
Parkersburg, WV 26101-2504

Mailing address

1903 Ann St
Parkersburg, WV 26101-2504
Phone (304) 424-4578

Other identifiers 2

IdentifierTypeStateIssuer
2713148MedicaidOH
3810005633MedicaidWV

National Provider Directory

National Provider Directory

Locations

1903 Ann St
Parkersburg, WV 26101
Phone (304) 424-4249

705 Garfield Ave
Parkersburg, WV 26101
Phone (304) 424-2093

Practitioners & affiliated clinicians

Practitioners 3

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1609970136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012504",
            "telephone_number": "304-424-4578",
            "fax_number": "304-424-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012504",
            "telephone_number": "304-424-4578",
            "fax_number": "304-424-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKUND K SHAH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUKUND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-424-4578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2713148",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005633",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.