DR. PRINCE SHAH (NPI# 1174632251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174632251 |
| Entity Type | Individual |
| Full Name | DR. PRINCE SHAH |
| Credential | M.D. |
| Practice Address |
9460 N Name Uno Ste. 130 Gilroy CA 95020-3537 |
| Practice Telephone | 4088488336 |
| Mailing Telephone | 4088488336 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A64458 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A644581 | 05 |
| Street Address |
9460 N NAME UNO STE. 130 |
| City | GILROY |
| State | CA |
| Zip Code | 95020-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468003 | Marshall Fay Williams | Family Medicine | 9460 N Name Uno, Suite 115, Gilroy, CA 95020-3537 | 2005-12-19 |
| 1316482896 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 9460 N Name Uno, Suite 215, Gilroy, CA 95020-3537 | 2016-12-20 |
| 1053855635 | Liliana Romine | Dental Hygienist | 9460 N Name Uno, Suite 215, Gilroy, CA 95020-3537 | 2016-12-15 |
| 1154712933 | Marisa Tingfeng Liang | Physician Assistant | 9460 N Name Uno, Suite 110, Gilroy, CA 95020-3537 | 2015-02-14 |
| 1376943290 | Dana Janetter Velasco Edgar | Physical Therapist | 9460 N Name Uno, Ste 140, Gilroy, CA 95020-3537 | 2014-08-27 |
| 1629495890 | Ashley Mason | Physician Assistant | 9460 N Name Uno, Suite 110, Gilroy, CA 95020-3537 | 2014-03-25 |
| 1235477597 | South Valley Primary Care Group | Family Medicine | 9460 N Name Uno, Suite 110, Gilroy, CA 95020-3537 | 2013-01-22 |
| 1336499193 | Katherine L Nguyen | Occupational Therapist | 9460 N Name Uno, Ste 140, Gilroy, CA 95020-3537 | 2012-09-19 |
| 1619263993 | Victor Manuel Salazar | Family Medicine | 9460 N Name Uno, Suite 110, Gilroy, CA 95020-3537 | 2011-06-24 |
| 1831484294 | Miguel Angel Dorantes | Family Medicine | 9460 N Name Uno, Suite 110, Gilroy, CA 95020-3537 | 2011-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912195561 | Kevin D Stuart, M.d A Medical Corporation | Internal Medicine | 9460 N Name Uno Ste 130, Gilroy, CA 95020-3532 | 2007-10-09 |
| 1336762863 | Gilroy Gastro LLC | Internal Medicine | 9460 N Name Uno Ste 130, Gilroy, CA 95020-3532 | 2020-05-19 |
| 1912966185 | Kevin D Stuart | Internal Medicine | 9460 No Name Uno, Suite 130, Gilroy, CA 95020 | 2006-03-17 |
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| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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| 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.