Organization Active NPI

Hamza W Shah DO

  • Gastroenterology Physician
  • Charleston, WV
National Provider Identifier
1760997381
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3176 Issued in WV
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

Updated by the provider on Mar 16, 2018

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.