Sachin K Shah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2357554 Issued in MI

Practice address

1007 Alameda Blvd
Troy, MI 48085-6736

Phone

(773) 636-9945

NPI assigned

Sep 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1982854840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 ALAMEDA BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856736",
            "telephone_number": "773-636-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 ALAMEDA BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856736",
            "telephone_number": "773-636-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SACHIN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "234056",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "L2357554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payal Shah, M.D.
• Purvi D Shah, P.T.
• Radhika Shah, FNP-BC
• Riddhish Ashokkumar Shah, RPT
• Rikin Shah, PT
• Kenneth W Shaheen, M.D.
• Stephanie N. Shaheen, M.S., PA-C
• Stephen Shaheen, AGPCNP
• Asadollah Shahideh, MD
• Hussein Shahine

• Pediatrics Physician in Troy, MI
• Providers in Troy, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.