Active NPI
Hamza W Shah DO
- Gastroenterology Physician
- Charleston, WV
National Provider Identifier
1760997381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 3176
- Legal business name
- HAMZA W SHAH DO
- Practice address
- 3100 Maccorkle Ave SE Ste 509
Charleston, WV 25304-1226 - Phone
- (304) 342-0821
- Fax
- (304) 345-6679
- NPI assigned
- Dec 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hamza W. Shah, DO
- Title
- Owner
- Phone
- (304) 342-0821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 3176 | WV | Primary |
Addresses
Primary practice location
3100 Maccorkle Ave SE Ste 509
Charleston, WV 25304-1226
Mailing address
3100 Maccorkle Ave SE Ste 509
Charleston, WV 25304-1226
Phone (304) 342-0821
National Provider Directory
National Provider DirectoryLocations
3100 Maccorkle Ave SE
Ste 509
Charleston, WV 25304
Phone (304) 342-0821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521158400000",
"number": "1760997381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE STE 509",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041226",
"telephone_number": "304-342-0821",
"fax_number": "304-345-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE STE 509",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041226",
"telephone_number": "304-342-0821",
"fax_number": "304-345-6679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMZA W SHAH DO",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-05",
"last_updated": "2018-03-16",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "HAMZA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-342-0821",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "3176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.