DR. MAYANK P SHAH (NPI# 1598872616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598872616 |
| Entity Type | Individual |
| Full Name | DR. MAYANK P SHAH |
| Credential | MD |
| Practice Address |
200 Ronald Reagan Blvd Warwick NY 10990 |
| Mailing Address |
Po Box 364 Warwick NY 10990 |
| Practice Telephone | 8459868670 |
| Practice Fax Number | 8459871348 |
| Mailing Telephone | 8459868670 |
| Mailing Fax Number | 8459871348 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 171978 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUECROSS BLUESHIELD | 18E961 | 01 |
| NY | 01052813 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104894864 | Mayank Kantilal Shah | Internal Medicine | 1051 Harding Memorial Pkwy, Suite A, Marion, OH 43302-6347 | 2006-03-09 |
| 1003355264 | Mayank Shah | Physical Therapist | 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084-2900 | 2017-02-20 |
| 1336559939 | Mayank Shah | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2014-05-05 |
| 1740461896 | Mayank Shah | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37614 | 2007-11-16 |
| 1962430272 | Mayank Kanaiyalal Shah | Family Medicine | 7435 W Talcott Ave, Suite 182, Chicago, IL 60631-3707 | 2006-06-28 |
| Street Address |
200 RONALD REAGAN BLVD |
| City | WARWICK |
| State | NY |
| Zip Code | 10990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134516677 | Mayank Shah Physician PC | Clinic/Center | 200 Ronald Reagan Blvd, Warwick, NY 10990-4107 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
| 1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
| 1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
| 1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
| 1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
| Find all providers in zip 10990 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367189 | Ahmad Radwan Mahmoud Muammar | Internal Medicine | 455 Toll Gate Rd Ofc, Warwick, RI 02886-2759 | 2019-07-08 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1619350402 | Dennis Guadarrama II | Internal Medicine | 325 New London Ave Apt A2, Warwick, RI 02886-0672 | 2015-06-30 |
| 1063777464 | Todd Warren May | Internal Medicine | 15 Health Ln, Building 2-d, Warwick, RI 02886-2710 | 2012-07-11 |
| 1598943250 | Maria Aileen A. Soriano Pisaturo | Internal Medicine | 215 Toll Gate Rd Ste 104, Warwick, RI 02886-4463 | 2008-02-05 |
| 1346368370 | Ralph Joseph Alvarez | Internal Medicine | 9 Grand St, Warwick, NY 10990-1007 | 2007-03-27 |
| 1265599393 | Nicholas Joseph Turilli | Internal Medicine | 444 W Shore Rd, Warwick, RI 02889-1326 | 2007-01-01 |
| 1548332257 | Ocean State Primary Care LLC | Internal Medicine | 176 Toll Gate Rd Ste 203, Warwick, RI 02886-4480 | 2006-11-15 |
| 1952490732 | Marcela Zebede Blank | Internal Medicine | 455 Toll Gate Road, Warwick, RI 02886 | 2006-10-12 |
| 1104926849 | Stephen Koster Hoverman | Internal Medicine | 5 Grand St, Warwick, NY 10990-0677 | 2006-09-23 |
| Find all providers in WARWICK | ||||
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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.