SHAHRUKH A MIRZA (NPI# 1669622882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669622882 |
| Entity Type | Individual |
| Full Name | SHAHRUKH A MIRZA |
| Credential | MD |
| Practice Address |
1250 S Cedar Crest Blvd Allentown PA 18103-6224 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104023110 |
| Practice Fax Number | 6104023112 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD435374 | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD435374 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1250 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558062 | Sarah Dolcemascolo | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2005-06-20 |
| 1336782127 | Bella Hearing Systems | Hearing Instrument Specialist | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-10-24 |
| 1942768619 | Allyson Buckshaw | Nurse Practitioner | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-03-12 |
| 1992285712 | Matthew J Cummings | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6224 | 2018-08-21 |
| 1841707866 | Tamara Callender | Nurse Practitioner | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-12-30 |
| 1144730227 | Michelle Lynn Gessner | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-10-03 |
| 1104362649 | Matthew Shaw | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2017-01-09 |
| 1699227314 | Connor Prince | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-10-28 |
| 1649729070 | Sarah Connors | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 215, Allentown, PA 18103-6224 | 2016-09-27 |
| 1285183715 | Samantha Schramak | Physician Assistant | 1250 S Cedar Crest Blvd, #400, Allentown, PA 18103-6224 | 2016-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| 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 |
|---|---|---|---|---|
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1871150011 | Chun Ting Siu | Internal Medicine | 1627 W Chew Street, #101, Allentown, PA 18102-3648 | 2019-05-23 |
| 1588221170 | Joseph Hornak | Internal Medicine | 1627 Chew St # 101, Allentown, PA 18102-3648 | 2019-05-20 |
| 1669956397 | St. Luke's Physician Group, Inc. | Internal Medicine | 3420 Walbert Ave Unit 100, Allentown, PA 18104-1700 | 2018-09-19 |
| 1881189645 | Ramiro Gabriel Castro Apolo | Internal Medicine | 26 N 6th St Apt 269, Allentown, PA 18101-1430 | 2018-06-25 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1881129930 | George Stephen Prousi | Internal Medicine | 707 Hamilton St # Street7c, Allentown, PA 18101-2407 | 2017-04-26 |
| 1265815500 | Radhika Vachhani | Internal Medicine | 3080 Hamilton Blvd Ste 250, Allentown, PA 18103-3694 | 2015-07-06 |
| 1982086583 | Nabila Zamir | Internal Medicine | 798 Hausman Rd Ste 100, Allentown, PA 18104-9116 | 2015-06-19 |
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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.