Suresh S Shah, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD068892L Issued in PA

Practice address

269 Berkeley Way
Monroeville, PA 15146-2847

Phone

(412) 373-2310

Fax

(412) 373-2310

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1679640387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 BERKELEY WAY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462847",
            "telephone_number": "412-373-2310",
            "fax_number": "412-373-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 BERKELEY WAY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462847",
            "telephone_number": "412-373-2310",
            "fax_number": "412-373-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SURESH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD068892L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001936010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018467440001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Earl Seymour III, BS
• Jennifer Seymour, CNM
• Debra L Shaffer, LCSW
• Theresa E Shaffer, RD, LDN
• Laxmi Shah, D.O
• Gabriella M Shaheen, PAC
• Hassaan Shaikh, M.B.B.S.
• Matthew Shannon, RPH
• Giath Shari, MD
• Parminder K Sharma, MD

• Medical Oncology Physician in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Medical Oncology Physician in Pennsylvania

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