MUKESH SHAH (NPI# 1225193923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225193923 |
| Entity Type | Individual |
| Full Name | MUKESH SHAH |
| Credential | M.D. |
| Practice Address |
1656 Champlin Ave Utica NY 13502-4830 |
| Practice Telephone | 3157244017 |
| Mailing Telephone | 3157244017 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 153083 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP HEALTHCARE | 165131 | 01 |
| NY | DEA # | AS2355433 | 01 |
| NY | 00796901 | 05 | |
| NY | NY STATE LICESNSE | 153083 | 01 |
| NY | CLIA LICENSE | 33DO942942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1194944579 | Mukesh B Shah | Dentist | 2051 N Arizona Ave, #114, Chandler, AZ 85225-3444 | 2007-04-24 |
| 1538178850 | Mukesh H Shah | Pediatrics | 3180 Main Street, Room 104, Bridgeport, CT 06606 | 2006-08-05 |
| 1356373252 | Mukesh P Shah | Internal Medicine | 12462 Putnam St #208, Whittier, CA 90602-2434 | 2006-07-07 |
| 1801867395 | Mukesh Shah | Internal Medicine | 2105 W County Line Rd, Suite#4, Jackson, NJ 08527-2301 | 2006-02-01 |
| 1740275627 | Mukesh R Shah | Internal Medicine | 5969 E Broad St, Ste 202, Columbus, OH 43213-1546 | 2005-09-15 |
| 1114467784 | Mukesh Shah | Pharmacist | 430 Morton Plant St, Suite 100a, Largo, FL 33756 | 2017-03-02 |
| 1366689341 | Mukesh M Shah | Pharmacist | 26520 Cactus Ave, Ste E 1128, Moreno Valley, CA 92555-3927 | 2009-01-13 |
| 1265620124 | Mukesh S Shah | Internal Medicine | 1135 W University Dr, Ste 175, Rochester, MI 48307-1871 | 2007-10-04 |
| 1003983065 | Mukesh Vasantlal Shah | Internal Medicine | 1200 Mckean Ave, Suite 104, Charleroi, PA 15022-2141 | 2006-11-28 |
| Street Address |
1656 CHAMPLIN AVE |
| City | UTICA |
| State | NY |
| Zip Code | 13502-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546088 | Elvedina Strukan | Physician Assistant | 1656 Champlin Ave, Utica, NY 13502-4830 | 2020-10-22 |
| 1902415177 | Tania Marie Cuadra | Dietitian, Registered | 1656 Champlin Ave, Utica, NY 13502-4830 | 2020-07-23 |
| 1023626009 | Lyndsy Davis | Speech-Language Pathologist | 1656 Champlin Ave, Utica, NY 13502-4830 | 2020-07-16 |
| 1417583337 | Kimberly Claire Debuono | Dietitian, Registered | 1656 Champlin Ave, Utica, NY 13502-4830 | 2020-03-23 |
| 1306484266 | Molly Anne Hickey | Physical Therapist | 1656 Champlin Ave, Utica, NY 13502-4830 | 2019-12-11 |
| 1649822578 | Amanda Bushey | Social Worker | 1656 Champlin Ave, Utica, NY 13502-4830 | 2019-07-11 |
| 1043879778 | Kristina Duchmann | Social Worker | 1656 Champlin Ave, Utica, NY 13502-4830 | 2019-06-06 |
| 1194294967 | Rijalda Gracanin | Social Worker | 1656 Champlin Ave, Utica, NY 13502-4830 | 2018-11-21 |
| 1396211124 | Victoria Long | Social Worker | 1656 Champlin Ave, Utica, NY 13502-4830 | 2018-10-19 |
| 1205326188 | Claudine Sapini | Psychiatry & Neurology | 1656 Champlin Ave, Utica, NY 13502-4830 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447984 | Sara Lieblein Simons | Obstetrics & Gynecology | 11051 Hall Rd Ste 110, Utica, MI 48317-5737 | 2015-05-19 |
| 1497820799 | Firooz Ravangard, Md PC | Obstetrics & Gynecology | 1656 Champlin Ave Ste 222, Utica, NY 13502-4830 | 2006-11-21 |
| 1366533184 | Scott W Beattie | Obstetrics & Gynecology | 1522 Old Burrstone Rd, Utica, NY 13502-4804 | 2006-09-27 |
| 1184607558 | Brian A Torok | Obstetrics & Gynecology | 11051 Hall Road, Suite 110, Utica, MI 48317 | 2005-11-21 |
| 1407846462 | Deborah L Mikula | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2005-10-21 |
| 1386636637 | Richard Alan Patterson | Obstetrics & Gynecology | 3 Parkside Ct, Utica, NY 13501-5643 | 2005-08-22 |
| 1578902060 | Alsia M. Kabari | Obstetrics & Gynecology | 2212 Genesee St, Utica, NY 13502-5809 | 2013-06-18 |
| 1750611190 | Brendan Michael O'donnell | Obstetrics & Gynecology | 2212 Genesee St, Utica, NY 13502-5809 | 2010-01-07 |
| 1093956963 | Sudhir C Potluri Ob/gyn PC | Obstetrics & Gynecology | 1656 Champlin Ave, 221, Utica, NY 13502-4830 | 2009-03-23 |
| 1851544142 | Ahmed Mansour Mansour | Obstetrics & Gynecology | 1656 Champlin Ave, Utica, NY 13502-4830 | 2008-10-30 |
| Find all providers in UTICA | ||||
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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.