Gretchen Shahan

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

J1-0001643 Issued in DE

Practice address

1311 Brandywine Blvd
Wilmington, DE 19809-2306

Phone

(302) 793-5072

NPI assigned

Jan 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1669861233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 KESWICK CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083633",
            "telephone_number": "302-793-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092306",
            "telephone_number": "302-793-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAN",
        "first_name": "GRETCHEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "DE",
            "license": "J1-0001643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krunal Shah, DDS
• Kruti Shah, PHARMD
• Nikita Shah, M.D.
• Suken A. Shah, MD
• Udayan K Shah, MD
• Majd Shaio, MD
• Metetwa Shakur
• Waleed Shalaby, MD
• Dzmitry Shamkalovich, MD
• Maya Anna Shapira

• Health Service Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Health Service Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.