Mukesh D. Shah, OB-GYN P.C.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

165131 Issued in NY

Legal business name

MUKESH D. SHAH, OB-GYN P.C.

Practice address

1656 Champlin Ave
Suite # 224
Utica, NY 13502-4830

Phone

(315) 724-4017

Fax

(315) 793-3689

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mukesh Dhirajlal Shah, M.D.

Title

Owner / President

Phone

(315) 724-4017

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1790969343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "SUITE # 224",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-724-4017",
            "fax_number": "315-793-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "SUITE # 224",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-724-4017",
            "fax_number": "315-793-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH D. SHAH, OB-GYN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "DHIRAJLAL",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "315-724-4017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "165131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00796901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "AA0180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Mossing
• Deborah Mott
• Sunil Motta, MD
• Lauren Elizabeth Mowers, P.T.
• Melesa-Rose Mudong, CASAC-T
• Meghann Muldowney, MD
• Jessica Mulet
• Brian Mulkern, LCSW
• Kyle Paul Mullen, CPS
• Warren J Mundrick, OT

• Gynecology Physician in Utica, NY
• Providers in Utica, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.