MUKUND K SHAH (NPI# 1194829721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194829721 |
| Entity Type | Individual |
| Full Name | MUKUND K SHAH |
| Credential | M.D. |
| Practice Address |
400 Matthew St Strecker Cancer Center Marietta OH 45750-1644 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403765000 |
| Practice Fax Number | 7403765002 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35050858 | OH | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
13835 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0549213 | 05 | |
| WV | 0085338000 | 05 | |
| OH | RRMCR | P00997169 | 01 |
| OH | ANTHEM | 000000525667 | 01 |
| OH | ANTHEM | 000000696927 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013086446 | Mukund Shah | Pediatrics | 3800 Hollywood Rd, Suite 102, Saint Joseph, MI 49085-8510 | 2006-11-07 |
| 1801977632 | Mukund G Shah | Internal Medicine | 38660 Medical Center Dr, Suite A-380, Palmdale, CA 93551-4385 | 2006-10-18 |
| Street Address |
400 MATTHEW ST STRECKER CANCER CENTER |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639641 | Joseph R Mayo | Internal Medicine | 400 Matthew St, Ste 302, Marietta, OH 45750-1644 | 2005-06-14 |
| 1164970919 | Jessica Starling | Nurse Practitioner | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2016-09-21 |
| 1073984829 | Kristeva Jo Knab | Physician Assistant | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2015-10-19 |
| 1033588405 | Alyse Shapaka | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-09-16 |
| 1982072054 | Chandler Leann Myers | Nurse Practitioner | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2015-09-08 |
| 1487021200 | Brian P. Peppel | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-08-27 |
| 1548676778 | Jenny M Daubert | Physician Assistant | 400 Matthew St, Suite 303, Marietta, OH 45750-1644 | 2014-07-09 |
| 1568895993 | Amy L Albrecht | Physician Assistant | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2013-08-21 |
| 1609145242 | Lakyn Allison Merrifield | Physician Assistant | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2011-12-28 |
| 1578848941 | Cathy J. Lee | Nurse Practitioner | 400 Matthew St, Suite 305, Marietta, OH 45750-1644 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234608 | Michael B Andrews | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2005-06-13 |
| 1427321124 | Shuang Yin Zhang | Internal Medicine | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1173 | 2012-02-12 |
| 1689990061 | John Thomas French | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2010-04-11 |
| 1962601344 | Pooja Bardhan | Internal Medicine | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2007-07-16 |
| 1982823290 | Devaki Siva | Internal Medicine | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2007-04-25 |
| 1609941335 | Louis C Garrot | Internal Medicine | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2006-11-21 |
| 1023113727 | Kelli A Cawley | Internal Medicine | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2006-09-14 |
| 1598871410 | Carmen Manuela Klass | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2006-08-22 |
| 1902811623 | Georgia Cancer Specialists I PC | Internal Medicine | 340 Kennestone Hospital Blvd, Suite 100, Marietta, GA 30060-1152 | 2006-07-30 |
| 1497711931 | Madhurima Uppalapati | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2006-04-25 |
| Find all providers in MARIETTA | ||||
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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.