DR. MRUDULA J SHAH (NPI# 1427144823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427144823 |
| Entity Type | Individual |
| Full Name | DR. MRUDULA J SHAH |
| Credential | M.D. |
| Practice Address |
1101 St Christopher Dr Same Day Surgery Ctr. Ste 340 Ashland KY 41101 |
| Mailing Address |
1101 St Christopher Dr Ste 340 Ashland KY 41105-2256 |
| Practice Telephone | 6068368188 |
| Practice Fax Number | 6068368177 |
| Mailing Telephone | 6068368188 |
| Mailing Fax Number | 6068368177 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19399 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64193998 | 05 | |
| KY | LICENSE NUMBER | 19399 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982788303 | Mrudula S. Shah | Internal Medicine | 528 Old Country Road, Plainview, NY 11803-4997 | 2006-10-24 |
| Street Address |
1101 ST CHRISTOPHER DR SAME DAY SURGERY CTR. STE 340 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477088524 | Ross Adams | Specialist | 781 Liberty St, Ashland, OR 97520-3140 | 2017-04-26 |
| 1154864312 | Jessica Helgert | Specialist | 602 Parkside Dr, Ashland, OH 44805-1521 | 2016-11-21 |
| 1033502810 | Emilie Christean Campbell | Specialist | 1688 County Road Bb, Ashland, KS 67831-3171 | 2015-03-18 |
| 1811276827 | Rosalyn E Bralley | Specialist | 300 Hersey Street, Suite 4, Ashland, OR 97520 | 2011-08-08 |
| 1285938977 | Alister Maguire | Specialist | 250 Oak St Ste 5, Ashland, OR 97520-1855 | 2011-01-10 |
| 1053628107 | Asha Cheval | Specialist | 2799 Siskiyou Blvd, Unit 29, Ashland, OR 97520-9537 | 2010-09-10 |
| 1972830149 | Siskiyou Massage, LLC | Specialist | 550 Siskiyou Blvd., Ashland, OR 97520 | 2009-11-10 |
| 1982853602 | Lori Beth Doran | Specialist | 7002 Countryside Dr, Ashland, KY 41102-7619 | 2008-09-17 |
| 1831357912 | Mark W Unger | Specialist | 117 Algonquin Trl, Ashland, MA 01721-1995 | 2008-05-27 |
| 1649437641 | Patricia Michelle Cincotta | Specialist | 85 Concord St, Ashland, MA 01721-1603 | 2008-05-19 |
| Find all providers in ASHLAND | ||||
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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.