Organization Active NPI

Mike Shah MD PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plano, TX
National Provider Identifier
1639274392
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
L6174 Issued in TX
Legal business name
MIKE SHAH MD PA
Practice address
6957 W Plano Pkwy
Suite 2600
Plano, TX 75093-1620
Phone
(972) 499-4266
Fax
(972) 591-4605
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Mrugeshkumar Kanaiyalal Shah, MD
Title
President
Phone
(972) 499-4266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X L6174 TX Primary

Addresses

Primary practice location

6957 W Plano Pkwy
Suite 2600
Plano, TX 75093-1620

Mailing address

PO Box 941010
Plano, TX 75094-1010
Phone (972) 499-4266

National Provider Directory

National Provider Directory

Locations

3012 E Hebron Pkwy
Ste 118
Carrollton, TX 75010
Phone (469) 233-2509

10611 Garland Rd
Ste 113
Dallas, TX 75218
Phone (214) 321-2488

7995 LBJ
Dallas, TX 75251

4040 N MacArthur Blvd
Irving, TX 75038
Phone (214) 217-4666

4708 Alliance Blvd
Ste 120
Plano, TX 75093

6957 W Plano Pkwy
Ste 2600
Plano, TX 75093
Phone (972) 884-4400

Practitioners & affiliated clinicians

Practitioners 1

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1639274392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750941010",
            "telephone_number": "972-499-4266",
            "fax_number": "972-591-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY",
            "address_2": "SUITE 2600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931620",
            "telephone_number": "972-499-4266",
            "fax_number": "972-591-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MRUGESHKUMAR",
        "authorized_official_middle_name": "KANAIYALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-499-4266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.