Chandrakant Shah MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0061676 Issued in FL

Legal business name

CHANDRAKANT SHAH MD PA

Practice address

13033 SW 112TH St
Miami, FL 33186-4601

Phone

(305) 382-4901

Fax

(305) 382-4502

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chandrakant S Shad, MD

Title

President

Phone

(305) 382-4901

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yajaira Lopez, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1982915245
  Medicare reassignment NPD
• Chandrakant Shah, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1073689634
  Medicare reassignment NPD

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1790940138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13033 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864601",
            "telephone_number": "305-382-4901",
            "fax_number": "305-382-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864601",
            "telephone_number": "305-382-4901",
            "fax_number": "305-382-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRAKANT SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SHAD",
        "authorized_official_first_name": "CHANDRAKANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-382-4901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "0061676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "14792",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058773703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Namrata Chandhok, M.D.
• Jadyn Marceil Chandler, PT
• Michelle Chandler
• Simone Ariel S Chandler
• Seema Chandra, MD
• Douglas Anthony Chandrasekar, PHARMD
• Chanel Nursing Care Alf ,Corp
• Lilliane Chanel, APRN
• Margaret Collins Chaneles, MD
• Gabriela Chanfrau Regueira

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.