Wisebuddha Enterprises

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME107485 Issued in FL

Legal business name

WISEBUDDHA ENTERPRISES

Doing business as

Shah Medical Clinic

Practice address

7550 W University Ave
Suite B
Gainesville, FL 32607-7607

Phone

(352) 235-9636

Fax

(877) 465-6936

NPI assigned

Oct 3, 2012

Last updated

Aug 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maulik Shah, MD PHDNPI 1417966219

Title

Ceo

Phone

(352) 222-9636

Specialties & licenses 6

Addresses

Other names 1

• Shah Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maulik Raj Shah, MD, PHD

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1417966219
  Authorized official Same address or phone

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1619229515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326077607",
            "telephone_number": "352-235-9636",
            "fax_number": "877-465-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326077607",
            "telephone_number": "352-235-9636",
            "fax_number": "877-465-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEBUDDHA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-222-9636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107485",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "FL",
            "license": "ME107485",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shah Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A Wise, DC
• Kahtleen Beth Wise, MSW
• Kenneth Edgar Wise, PHARM. D
• Wise's Drugstore
• Wise's Parkwood
• John Gilbert Wiseheart, AU.D.
• Rebecca Maulden Wiseheart, M.A.
• Wises Drug Store Inc (Wise's Pharmacy)
• John Edwin Witcher, DMD, MS
• Michael Robert Withee, LMT

• Internal Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.