Udayan Kandarp Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A142144 Issued in CA

Practice address

518 N Court St Ste B
Visalia, CA 93291-4920

Phone

(559) 625-9100

Fax

(559) 625-9103

NPI assigned

Apr 10, 2014

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shyam Bhaskar MD Inc

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1609063429
  Medicare reassignment NPD
• Shyam Bhaskar, M.D. Inc

  • Internal Medicine Physician
  • Corcoran, CA
  • NPI 1902204449
  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1376604686
  NPD (past)

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1942629423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N RIVERSIDE DR # 102504",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N COURT ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914920",
            "telephone_number": "559-625-9100",
            "fax_number": "559-625-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6335 N Fresno St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105272",
            "country_code": "US",
            "telephone_number": "559-412-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "UDAYAN",
        "middle_name": "KANDARP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A142144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Elizabeth Shaffer-Bage
• Michael H Shaffer, LCSW MFT
• Kathan Dipak Shah, DPM
• Paras Vipinchandra Shah, M.D.
• Priyanka Shah, PA-C
• Ashkan Shahkarami, M.D
• Ahmad Jamal Shahroz, MD
• Sharmineh Shams, M.D.
• Madelyn Shandrew
• Tiffany Shao

• Internal Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.