Shashi K. Shah M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48953 Issued in CA

Legal business name

SHASHI K. SHAH M D INC

Practice address

600 N Mountain Ave
Suite D100
Upland, CA 91786-4359

Phone

(909) 946-2828

Fax

(909) 946-4288

NPI assigned

May 17, 2007

Last updated

Jan 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shashi K Shah, MDNPI 1679592463

Title

Owner

Phone

(909) 946-2828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shashi K Shah, MD

  • Specialist
  • Upland, CA
  • NPI 1679592463
  Authorized official Same address or phone

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1952518763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "SUITE D100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-946-2828",
            "fax_number": "909-946-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "SUITE D100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-946-2828",
            "fax_number": "909-946-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI K. SHAH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-946-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9599928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karim A. Shaikley, M.D.
• Shalom Hospice Health Care, Inc (All American Hospice, Inc.)
• Azar Shams, RPH
• Adam Shapiro
• Rashida Sharpe
• Carina Marie Shaw, M.P.A., CADC III
• Hossein Shayan, MD
• Tamara Shearer
• Eddie Chih-Yuan Sheh, D.D.S.
• Hussein Sheleh, MD, MSCR

• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.