Organization Active NPI

Ishfaq H Shah MD

  • Internal Medicine Physician
  • Gaffney, SC
National Provider Identifier
1730376104
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ISHFAQ H SHAH MD
Practice address
707 6TH St
Gaffney, SC 29340-2691
Phone
(864) 487-9738
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Ishfaq H Shah, MD
Title
Physician
Phone
(864) 487-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

707 6TH St
Gaffney, SC 29340-2691

Mailing address

PO Box 520
Gaffney, SC 29342-0520
Phone (864) 487-9738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1730376104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293420520",
            "telephone_number": "864-487-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 6TH ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402691",
            "telephone_number": "864-487-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHFAQ H SHAH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ISHFAQ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-487-4291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.