MUKESH H SHAH (NPI# 1538178850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538178850 |
| Entity Type | Individual |
| Full Name | MUKESH H SHAH |
| Credential | MD |
| Practice Address |
3180 Main Street Room 104 Bridgeport CT 06606 |
| Practice Telephone | 2033731366 |
| Practice Fax Number | 2033650546 |
| Mailing Telephone | 2033731366 |
| Mailing Fax Number | 2033650546 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20669 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1206697 | 05 |
| 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 |
| 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 |
| 1225193923 | Mukesh Shah | Obstetrics & Gynecology | 1656 Champlin Ave, Utica, NY 13502-4830 | 2006-12-25 |
| 1003983065 | Mukesh Vasantlal Shah | Internal Medicine | 1200 Mckean Ave, Suite 104, Charleroi, PA 15022-2141 | 2006-11-28 |
| Street Address |
3180 MAIN STREET ROOM 104 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740378736 | Isabel D Goncalves | Obstetrics & Gynecology | 3180 Main Street, Ste 202, Bridgeport, CT 06606 | 2006-10-11 |
| 1427168707 | Milton Armm Md PC | Urology | 3180 Main Street, Room 305, Bridgeport, CT 06606 | 2006-08-30 |
| 1679683965 | Milton Frank Armm | Urology | 3180 Main Street, Room 305, Bridgeport, CT 06606 | 2006-08-30 |
| 1609985373 | Philip Anthony Micalizzi Jr. | Psychiatry & Neurology | 3180 Main Street, Ste 302, Bridgeport, CT 06606 | 2006-08-29 |
| 1154438737 | Gregory T Servetas | Obstetrics & Gynecology | 3180 Main Street, Suite 202, Bridgeport, CT 06606 | 2006-08-23 |
| 1902913585 | Mamata J Bharucha | Obstetrics & Gynecology | 3180 Main Street, Suite 202, Bridgeport, CT 06606 | 2006-08-23 |
| 1447367032 | Leah A Darak | Obstetrics & Gynecology | 3180 Main Street, Suite 202, Bridgeport, CT 06606 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083872865 | Janear Rochelle Anderson | Pediatrics | 1903 Doctors Hospital Dr, Suite 36, Bridgeport, TX 76426-2269 | 2008-05-28 |
| 1720179765 | Bradley D. Mitchell | Pediatrics | 139 Conference Center Way Ste 113, Bridgeport, WV 26330-9147 | 2006-09-27 |
| 1811097546 | Janet E. Cogar | Pediatrics | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2006-09-23 |
| 1023127818 | Jennifer Jill Momen | Pediatrics | 11 Chenoweth Drive, Suite A, Bridgeport, WV 26330 | 2006-08-29 |
| 1134232143 | Andrea B Hagani | Pediatrics | 2600 Main St, Suite 215, Bridgeport, CT 06606-5305 | 2006-08-16 |
| 1801806799 | Taralyn Cronin-weir | Pediatrics | 4637 Main St, Suite #4, Bridgeport, CT 06606-1838 | 2006-08-09 |
| 1366459299 | Brian Christopher Policano | Pediatrics | 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 | 2006-08-02 |
| 1912987702 | Pedro J. Malave | Pediatrics | 2475 North Ave, Bridgeport, CT 06604-2337 | 2006-01-18 |
| 1174524151 | Kathryn J Quinn | Pediatrics | 3180 Main St, Suite G-1, Bridgeport, CT 06606-4237 | 2005-08-02 |
| 1760936678 | Parth Bhatt | Pediatrics | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2016-08-09 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.