MRS. KARUNA SHAH (NPI# 1336153733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336153733 |
| Entity Type | Individual |
| Full Name | MRS. KARUNA SHAH |
| Credential | DO |
| Practice Address |
5211 Highway 278 Ne Covington GA 30014-2671 |
| Mailing Address |
1752 Brockett Road Tucker GA 30084 |
| Practice Telephone | 7707878200 |
| Practice Fax Number | 7707878228 |
| Mailing Telephone | 7707878200 |
| Mailing Fax Number | 7707878228 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
043773 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00764497E | 05 |
| Street Address |
5211 HIGHWAY 278 NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629537634 | Amanda Vallen West | Nurse Practitioner | 5211 Highway 278 Ne, Covington, GA 30014-2671 | 2019-03-19 |
| 1336353093 | Southeastern Neurology Associates,llc | Specialist | 5211 Highway 278 Ne, Covington, GA 30014-2671 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124380647 | Ramy El Khoury | Psychiatry & Neurology | 648 Crestwood Drive, Covington, LA 70433 | 2012-06-11 |
| 1508885955 | Srinivas S Ganji | Psychiatry & Neurology | 209 Highland Park Plz, Covington, LA 70433-7130 | 2006-07-18 |
| 1518921329 | Larry J Gross | Psychiatry & Neurology | 722 Scott St, Covington, KY 41011-2418 | 2006-04-17 |
| 1427035278 | Demetrius M Maraganore | Psychiatry & Neurology | 101 Judge Tanner Blvd Ste 402, Covington, LA 70433-7505 | 2005-12-22 |
| 1073962528 | Neuro Care of Louisiana, LLC | Psychiatry & Neurology | 648 Crestwood Blvd, Covington, LA 70433-6521 | 2016-06-06 |
| 1104245927 | Sandra Lois Mchenry | Psychiatry & Neurology | 322 W Riverside St, Covington, VA 24426-1219 | 2014-04-09 |
| 1316389273 | John Lyle Tron Montero Gomez | Psychiatry & Neurology | 648 Crestwood Drive, Covington, LA 70433 | 2013-07-20 |
| 1700196912 | Northshore Psychiatric Care | Psychiatry & Neurology | 107 Highland Park Plz, Suite 107, Covington, LA 70433-7128 | 2010-10-21 |
| 1518177229 | Daniel Chehebar | Psychiatry & Neurology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2007-05-23 |
| 1629286646 | Chad M Domangue | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2007-05-21 |
| Find all providers in COVINGTON | ||||
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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.