DR. ANJAN SHAH (NPI# 1609847680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609847680 |
| Entity Type | Individual |
| Full Name | DR. ANJAN SHAH |
| Credential | M.D. |
| Practice Address |
1200 N Phillips Ave Suite 3900 Oklahoma City OK 73104-4600 |
| Mailing Address |
1200 Everett Dr Np2350 Oklahoma City OK 73104-5047 |
| Practice Telephone | 4052715530 |
| Practice Fax Number | 4052715055 |
| Mailing Telephone | 4052714411 |
| Mailing Fax Number | 4052715055 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 26462 | OK | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | L9472 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 26462 | OK | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
26462 | OK | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
L9472 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057747 | Anjan Shah | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6504 | 2013-03-20 |
| 1104091933 | Anjan R Shah | Orthopaedic Surgery | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 | 2008-04-23 |
| Street Address |
1200 N PHILLIPS AVE SUITE 3900 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811354475 | Latasha Sheria Jackson | Licensed Practical Nurse | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2016-01-26 |
| 1730597626 | Lauren Yeary | Dentist | 1200 N Phillips Ave, 8th Floor, Suite 8f, Oklahoma City, OK 73104-4600 | 2014-07-24 |
| 1356616718 | Casey Elizabeth Campbell | Dietitian, Registered | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2012-03-19 |
| 1477833523 | Board of Regents of The University of Oklahoma - Ou Physicians | Nurse Practitioner | 1200 N Phillips Ave, Suite 9500, Oklahoma City, OK 73104-4600 | 2011-08-22 |
| 1295014595 | Jacee Diana Harcourt | Nurse Practitioner | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2011-08-04 |
| 1811275241 | Micah Nicole Marshall | Nurse Practitioner | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2011-08-02 |
| 1437437886 | Monika Leigh Stepniewski | Nurse Practitioner | 1200 N Phillips Ave, Suite 9500, Oklahoma City, OK 73104-4600 | 2011-08-02 |
| 1508144411 | The University of Oklahoma Health Sciences Center | General Acute Care Hospital | 1200 N Phillips Ave, Suite 12109, Oklahoma City, OK 73104-4600 | 2011-07-26 |
| 1053609198 | Ashley Charlotte Davis | Genetic Counselor, MS | 1200 N Phillips Ave, 5100, Oklahoma City, OK 73104-4600 | 2011-07-11 |
| 1275829715 | Erin L Youngs | Genetic Counselor, MS | 1200 N Phillips Ave, Suite 12100, Oklahoma City, OK 73104-4600 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932142353 | Charles S Sperrazza | Pediatrics | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-06-14 |
| 1093784746 | Umakumaram P Ponniah | Pediatrics | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-03-15 |
| 1669440863 | Jerry D Razook | Pediatrics | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-03-14 |
| 1295703411 | Kent E Ward | Pediatrics | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-03-14 |
| 1710955026 | Sherri S Baker | Pediatrics | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-03-11 |
| 1457329773 | Edward D Overholt | Pediatrics | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821268707 | Kyle Bielefeld | Pediatrics | 591 E 36th St N, Tulsa, OK 74106-1812 | 2008-03-06 |
| 1053359588 | Pediatric Cardiology of Oklahoma P.l.l.c. | Pediatrics | 6151 S Yale Ave, Suite 2402, Tulsa, OK 74136-1907 | 2006-06-04 |
| 1821050840 | William L Jackson Jr. | Pediatrics | 6151 S Yale Ave, Suite 2402, Tulsa, OK 74136-1907 | 2006-04-05 |
| 1861454365 | Matthew T Kimberling | Pediatrics | 6151 S Yale Ave, Suite 2402, Tulsa, OK 74136-1907 | 2006-04-03 |
| 1558323055 | Allis Y Kliewer | Pediatrics | 6151 S Yale Ave, Suite 2402, Tulsa, OK 74136-1907 | 2006-04-03 |
| 1841252350 | Cynthia Rae Lundt | Pediatrics | 6151 S Yale Ave, Suite 2402, Tulsa, OK 74136-1907 | 2006-04-03 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on DR. ANJAN 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.