SURESH G SHELAT (NPI# 1104832377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104832377 |
| Entity Type | Individual |
| Full Name | SURESH G SHELAT |
| Credential | M.D. |
| Practice Address |
34th & Civic Center Blvd Children's Hospital of Philadelphia Philadelphia PA 19104 |
| Mailing Address |
100 N 20th St Chop Suite 301 Philadelphia PA 19103-1443 |
| Practice Telephone | 2155901000 |
| Practice Fax Number | 2155610959 |
| Mailing Telephone | 2155672422 |
| Mailing Fax Number | 2155610959 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD418146 | PA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | MD418146 | PA | Allopathic & Osteopathic Physicians |
| X | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD418146 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0006971 | 05 |
| Street Address |
34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782605 | Samuel Charles Blackman | Pediatrics | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2005-07-07 |
| 1528461233 | Ayesha Malik | Optometrist | 34th & Civic Center Blvd, Philadelphia, PA 19104-4306 | 2014-10-08 |
| 1891102281 | Lloyd Bender | Ophthalmology | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4306 | 2014-07-17 |
| 1639414600 | Ignacio Juaneda Ruiz Funes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 34th & Civic Center Blvd, Department of Ct Surgery, Philadelphia, PA 19104 | 2012-12-03 |
| 1306180641 | Bart P Leroy | Ophthalmology | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4306 | 2012-11-26 |
| 1669727632 | Orith Waisbourd-zinman | Pediatrics | 34th & Civic Center Blvd, Philadelphia, PA 19104 | 2012-07-17 |
| 1396090361 | Anna Lee | Pathology | 34th & Civic Center Blvd, Philadelphia, PA 19104 | 2012-07-17 |
| 1528321882 | Adam Wolpaw | Pediatrics | 34th & Civic Center Blvd, 9nw55, Main Hospital, Philadelphia, PA 19104 | 2012-06-21 |
| 1356604615 | Ponney Palanisamy | Pediatrics | 34th & Civic Center Blvd, 9nw55, Main Hospital, Philadelphia, PA 19104 | 2012-06-21 |
| 1083977342 | Mary Vajravelu | Pediatrics | 34th & Civic Center Blvd, 9nw55, Main Hospital, Philadelphia, PA 19104 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740225291 | Warren S Pear | Pathology | 800 Spruce St # Rs, Philadelphia, PA 19107-6130 | 2006-06-18 |
| 1275521353 | Charalambos C Solomides | Pathology | 132 S 10th St, Main Building 285k, Philadelphia, PA 19107-5244 | 2005-10-12 |
| 1053759787 | Dean Sayre | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-06-04 |
| 1285924001 | Andrew David Fesnak | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-04-13 |
| 1851521314 | Malay Haldar | Pathology | 800 Spruce St, Philadelphia, PA 19107-6130 | 2009-07-19 |
| 1609019785 | Laurel Judith Glaser | Pathology | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2009-04-20 |
| 1972746048 | Tina S. Ipe | Pathology | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2009-04-20 |
| 1386808590 | Pil Gyu Hwang | Pathology | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2008-07-16 |
| 1699937987 | Jameel Z Iqbal | Pathology | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2008-06-27 |
| 1104088400 | Grant Nybakken | Pathology | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2008-06-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on SURESH G SHELAT.
| 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.