Mukund R Shah MD PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301039964 Issued in MI

Legal business name

MUKUND R SHAH MD PLC

Practice address

3800 Hollywood Rd
Suite 102
Saint Joseph, MI 49085-8510

Phone

(269) 428-2727

Fax

(269) 428-0377

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Mukund R Shah, MDNPI 1013086446

Title

Owner

Phone

(269) 428-2727

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukund Shah, M.D.

  • Pediatrics Physician
  • Saint Joseph, MI
  • NPI 1013086446
  NPD (past) Authorized official
• Lindsey Alexis Jacobs, DNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1689458382
  NPD (past)
• Ami Shah, MD

  • Pediatrics Physician
  • Saint Joseph, MI
  • NPI 1336272459
  NPD (past)
• Mark Roome, M.D.

  • Pediatrics Physician
  • Flossmoor, IL
  • NPI 1346368909
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1649440231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 102",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-2727",
            "fax_number": "269-428-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 102",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-2727",
            "fax_number": "269-428-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKUND R SHAH MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUKUND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-428-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301039964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Morris
• Carla G Morrow
• Madison Moyer, DC
• Eyas Mualla
• Morgan Alexandra Muenchow
• Anna Marie Munson
• Jamie Renee Murphy, CMT,RN
• Kristen Murphy, DO
• My Heart Partners PC
• Myeyedr Optometry of Michigan, LLC

• Pediatrics Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.