DISHA SHAH (NPI# 1366671265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366671265 |
| Entity Type | Individual |
| Full Name | DISHA SHAH |
| Credential | MD |
| Practice Address |
6400 Dutchmans Pkwy Suite 175 Louisville KY 40205-3340 |
| Mailing Address |
6801 Dixie Hwy Suite 130 Louisville KY 40258-3913 |
| Practice Telephone | 5023616055 |
| Practice Fax Number | 5023616087 |
| Mailing Telephone | 5023616055 |
| Mailing Fax Number | 5023616087 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
46305 | KY | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD439334 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P01253581 | 01 |
| KY | 7100250160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| 1144727991 | Disha Shah | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2018-04-09 |
| 1922469758 | Disha Shah | Occupational Therapist | 16150 Ne 85th St, Ste. 220, Redmond, WA 98052-3539 | 2016-03-07 |
| 1699148213 | Disha Shah | Physical Therapist | 3161 Walnut Ave, Fremont, CA 94538-2216 | 2015-11-04 |
| 1982919585 | Disha R. Shah | Family Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2010-08-09 |
| Street Address |
6400 DUTCHMANS PKWY SUITE 175 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586711 | Robert A Todd | Psychiatry & Neurology | 6400 Dutchmans Pkwy, Ste 331, Louisville, KY 40205-3340 | 2005-05-23 |
| 1497213185 | Stephanie Brooke Huff | Nurse Practitioner | 6400 Dutchmans Pkwy, Louisville, KY 40205-3340 | 2019-03-12 |
| 1750753000 | Holly G Stull | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3340 | 2015-10-27 |
| 1750750352 | Kelly Effinger | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3340 | 2015-09-24 |
| 1376929414 | Ashton Curry | Physical Therapist | 6400 Dutchmans Pkwy, Suite 20, Louisville, KY 40205-3340 | 2015-07-30 |
| 1376922054 | Stephanie Marie Harkness | Nurse Practitioner | 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205-3354 | 2015-05-27 |
| 1801284328 | Vivian L Whitehead | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 300, Louisville, KY 40205-3340 | 2015-01-06 |
| 1366843427 | Susan Gail Cahill | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3354 | 2014-09-09 |
| 1073912309 | Kristina Leigh Dawson | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3354 | 2014-08-22 |
| 1265831507 | Karri Cambron | Nurse Practitioner | 6400 Dutchmans Pkwy, Louisville, KY 40205-3340 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450601 | Vasudeva G. Iyer | Psychiatry & Neurology | 2505 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885 | 2005-07-12 |
| 1144456757 | Iyer Neurology Pllc | Psychiatry & Neurology | 2505 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205037470 | Ty Brown | Psychiatry & Neurology | 2670 Chancellor Drive, Crestview Hills, KY 41017-5466 | 2007-05-29 |
| 1902853617 | Warren F. Chumley | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-05-28 |
| 1891037230 | Ima Mbodie Ebong | Psychiatry & Neurology | 740 S Limestone Ky Clinic J401, Lexington, KY 40536 | 2013-03-24 |
| 1154368801 | Greg L. Anderson | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-06-01 |
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on DISHA SHAH.
| 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.