Sudha Shah

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Practice address

4500 College Ave
Alton, IL 62002-5051

Phone

(618) 474-3800

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821010844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIDDEN VALLEY LN",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025051",
            "telephone_number": "618-474-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUDHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Services Plus
• Da Hea Seo, MD
• Winnie Shaba, MD
• Mohini N Shah, OTR/L
• Parth Shah, MD
• Wei Shao, BSW
• Mary E Sharrow, LCSW
• Erica D Shaw, APN
• Jacob Wayne Shaw, A.S, A.A.S, CPT
• Madalyn Shaw

• General Practice Physician in Alton, IL
• Providers in Alton, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.