PRAKASH SHANTILAL SHAH


Address: 6644 E Baywood Ave, Mesa, AZ 85206-1747
Phone: 4089814391

PRAKASH SHANTILAL SHAH (NPI# 1104043801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104043801
Entity Type Individual
Full Name PRAKASH SHANTILAL SHAH
Credential MD
Practice Address 6644 E Baywood Ave
Mesa
AZ 85206-1747
Mailing Address Po Box 708850
Sandy
UT 84070-8850
Practice Telephone 4089814391
Practice Fax Number 4809814624
Mailing Telephone 8668692395
Mailing Fax Number 8013529502
Enumeration Date 2007-04-20
Last Update Date 2008-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 36825 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 227704 05

Other Providers PRAKASH SHAH

NPI Name Taxonomy Address Enumeration
1609897065 Prakash N Shah Internal Medicine 247 W Milton St, Easton, PA 18042-6689 2006-07-21
1730476003 Prakash Babu Shah Internal Medicine 200 Se Hospital Ave, Stuart, FL 34994-2346 2011-07-06
1053583831 Prakash C. Shah Pharmacist 7900 S J Stock Rd, Tucson, AZ 85746-7012 2008-04-01
1013917996 Prakash D Shah Internal Medicine 2801 W Kinnickinnic River Pkwy, Ste 840, Milwaukee, WI 53215-3669 2005-07-21
1902803513 Prakash Shah Internal Medicine 1724 Kenton St, Ste 1d, Hopkinsville, KY 42240-1981 2005-06-29

Office Location

Street Address 6644 E BAYWOOD AVE
City MESA
State AZ
Zip Code 85206-1747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528060233 Ashley M Reed Pharmacist 6644 E Baywood Ave, Mesa, AZ 85206-1747 2005-08-12
1215546882 Kylee A Read Occupational Therapist 6644 E Baywood Ave, Mesa, AZ 85206 2020-07-29
1629696638 Barbara Izabela Rutkowski Nurse Practitioner 6644 E Baywood Ave, Mesa, AZ 85206-1747 2020-07-07
1518580844 Aisha Bales Registered Nurse 6644 E Baywood Ave, Mesa, AZ 85206-1747 2020-05-21
1366064156 Michael Martin Moreau Registered Nurse 6644 E Baywood Ave, Mesa, AZ 85206-1747 2020-05-14
1316568454 Bhagyashree Barlingay M D P C Internal Medicine 6644 E Baywood Ave, Mesa, AZ 85206-1747 2020-04-29
1255967394 Garet Joshua Powell Nurse Anesthetist, Certified Registered 6644 E Baywood Ave, Mesa, AZ 85206-1747 2020-03-20
1912547597 Derek Ryan Allen Nurse Anesthetist, Certified Registered 6644 E Baywood Ave, Mesa, AZ 85206-1747 2020-01-10
1417518747 Mary Eileen Kumah Russell Nurse Practitioner 6644 E Baywood Ave, Mesa, AZ 85206-1747 2019-06-26
1891250759 Alison Renae Arpaia Pharmacist 6644 E Baywood Ave, Mesa, AZ 85206-1747 2019-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693062 Inner Balance Counseling LLC Counselor 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 2020-09-14
1356978969 Choices 4 Change Counseling and Coaching LLC Social Worker 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 2020-03-24
1023651288 Jason Mcclure Hearing Instrument Specialist 5540 E Broadway Rd., Mesa, AZ 85206 2019-10-21
1255995361 Vhs of Phoenix Inc General Acute Care Hospital 5750 E. Baseline Rd., Mesa, AZ 85206 2019-04-24
1932682184 Adam Fishel Frose Psychologist 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 2018-09-13
1376024737 Robyn Kathleen Hall Psychologist 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 2018-08-23
1790264984 Perspective Health, LLC Clinic/Center 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 2018-08-09
1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1982195624 Spark Performance and Physiotherapy Clinic/Center 6056 East Basline Road, Suite 147, Mesa, AZ 85206 2018-05-29
1336645993 Ashley Wright Audiologist-Hearing Aid Fitter 1423 S Higley Rd Ste 119, Mesa, AZ 85206 2018-04-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467914853 Endeavor Mobile Medical, LLC Internal Medicine 6242 E Arbor Ave Ste 111, Mesa, AZ 85206-1309 2019-04-03
1851886329 Alfonso A Tan Md PC Internal Medicine 6844 E Brown Rd Ste 101, Mesa, AZ 85207-3758 2018-06-27
1518450568 Mhb Services Internal Medicine 1301 S Crismon Road, Mesa, AZ 85209 2018-06-13
1952849945 Platinum Internal Medicine Internal Medicine 130 S 63rd St Ste 101, Mesa, AZ 85206-1620 2017-02-09
1700235751 Iora Senior Health Inc Internal Medicine 9124 E Main St, Suite 20-21, Mesa, AZ 85207-8700 2016-06-10
1265811418 Sandra Violetta Mele Internal Medicine 1301 S. Crimson Rd, Mesa, AZ 85209-3316 2015-05-20
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1760778906 Maaz Iqbal Internal Medicine 535 E Mckellips Rd Ste 121, Mesa, AZ 85203-2527 2011-06-27
1326333733 Amy Elizabeth Daliman Internal Medicine 6116 East Arbor Avenue, Suite 112, Mesa, AZ 85206 2011-06-14
1396046413 Lifecare Hospitalists Pllc Internal Medicine 2627 N Raven, Mesa, AZ 85207-2038 2010-11-04
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Competitor

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City MESA
Zip Code 85206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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