DR. CHETAN CHANDULAL SHAH (NPI# 1346446911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346446911 |
| Entity Type | Individual |
| Full Name | DR. CHETAN CHANDULAL SHAH |
| Credential | M.B.B.S |
| Practice Address |
807 Childrens Way Jacksonville FL 32207-8426 |
| Mailing Address |
Po Box 191 Wilmington DE 19732-0191 |
| Practice Telephone | 9046973694 |
| Practice Fax Number | 9046973927 |
| Mailing Telephone | 3022987371 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
E-5677 | AR | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
C10010212 | DE | Allopathic & Osteopathic Physicians |
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
ME113302 | FL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
E-5677 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 170947001 | 05 | |
| FL | 006569400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356489165 | Chetan Shah | Pharmacist | 410 Lakeville Rd Ste 102, New Hyde Park, NY 11042-1102 | 2007-02-02 |
| 1750306734 | Chetan Shah | Otolaryngology | 3100 Princeton Pike Bldg 4, Lawrenceville, NJ 08648-2300 | 2006-07-12 |
| 1386639052 | Chetan Naginlal Shah | Dentist | 769 Concourse Vlg W, Bronx, NY 10451-3801 | 2005-09-19 |
| 1659480606 | Chetan Dineshbhai Shah | Internal Medicine | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2006-08-30 |
| 1518971936 | Chetan K Shah | Internal Medicine | 13 Mechanic St, Cape May Court House, NJ 08210-4221 | 2006-07-28 |
| Street Address |
807 CHILDRENS WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281658 | Elizabeth A Moran | Orthopaedic Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2005-08-02 |
| 1689229213 | Madyson Marie Hund | Audiologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-08-09 |
| 1336792829 | Graciela Teresita Gallo | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1538712013 | Vanessa V Oliveira Valente | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1679031181 | Navondria Lawson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-03-05 |
| 1952870644 | Jessica Alice Johnson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-11-25 |
| 1831676584 | Lukas Scott Hayden | Physician Assistant | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-25 |
| 1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
| 1134610470 | Rocio Krystal Rivera-valentin | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-05-22 |
| 1144726696 | Paige Marie Ryan | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457572216 | Inbal Cohen | Radiology | 655 West 8th Street, Ufjp Radiology Dept, Jacksonville, FL 32209 | 2007-05-01 |
| 1295738425 | Uwayemwen Ogbonmwonkpa Aideyan | Radiology | 807 Children's Way, Jacksonville, FL 32207-8426 | 2005-05-23 |
| 1053750323 | Stacy Allan White Jr. | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2013-06-20 |
| 1063654531 | Scott Lee Davis | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2009-03-30 |
| 1699929521 | William Robert Bireley II | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2008-11-05 |
| 1821202219 | Robert Deflorio | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2007-05-09 |
| 1285712448 | Debbie J. Merinbaum | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-11-02 |
| 1669588588 | Zahir U Sarwar | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-22 |
| 1639285554 | Dilip E Gole | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-22 |
| 1801901889 | Elizabeth P. Mcgraw | Radiology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.