NPIMap

Organization Active NPI

Jawad a Shah MD PC

  • Multi-Specialty Clinic/Center
  • Flint, MI
National Provider Identifier
1992204341
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JAWAD A SHAH MD PC
Practice address
4400 S Saginaw St Ste 1370
Flint, MI 48507-2668
Phone
(810) 732-8336
Fax
(810) 213-0239
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Jawad A. Shah, MD
Title
President
Phone
(810) 732-8336

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4400 S Saginaw St Ste 1370
Flint, MI 48507-2668

Mailing address

4400 S Saginaw St Ste 1370
Flint, MI 48507-2668
Phone (810) 732-8336

Other names 1

  • Insight Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jawad a Shah MD PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 S Saginaw St
Ste 1370
Flint, MI 48507
Phone (810) 732-8336

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1992204341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST STE 1370",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072668",
            "telephone_number": "810-732-8336",
            "fax_number": "810-213-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST STE 1370",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072668",
            "telephone_number": "810-732-8336",
            "fax_number": "810-213-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWAD A SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-732-8336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.