NPIMap

Organization Active NPI

Jawad a Shah MD PC

  • Registered Dietitian
  • Flint, MI
National Provider Identifier
1780178699
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JAWAD A SHAH MD PC
Practice address
4800 S Saginaw St Ste 1800
Flint, MI 48507-2677
Phone
(810) 732-8336
NPI assigned
Jun 15, 2018
Organization subpart
Yes
Parent organization
JAWAD A SHAH MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Mohammad Nadir Ijaz
Title
Business Manager
Phone
(810) 732-8336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4800 S Saginaw St Ste 1800
Flint, MI 48507-2677

Mailing address

4800 S Saginaw St Ste 1800
Flint, MI 48507-2677
Phone (810) 732-8336

Other names 1

  • Insight Nutritional Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jawad a Shah MD PC13 organizations share this tax ID, including this one
Part of
Jawad a Shah MD PC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1780178699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-732-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-732-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWAD A SHAH MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAWAD A SHAH MD PC",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "NADIR",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "810-732-8336"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Nutritional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insight Nutritional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.