Active NPI
Siddharth Shah
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
National Provider Identifier
1801716352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 920 Madison Avenue University of Tennessee
Suite 447
Memphis, TN 38103 - Phone
- (901) 448-6344
- Fax
- (901) 448-6979
- NPI assigned
- Jul 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
920 Madison Avenue University of Tennessee
Suite 447
Memphis, TN 38103
Mailing address
920 Madison Avenue University of Tennessee
Suite 447
Memphis, TN 38103
Phone (901) 448-6344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1801716352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MADISON AVENUE UNIVERSITY OF TENNESSEE",
"address_2": "SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-448-6344",
"fax_number": "901-448-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MADISON AVENUE UNIVERSITY OF TENNESSEE",
"address_2": "SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-448-6344",
"fax_number": "901-448-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SIDDHARTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.