DR. SANJAY SHAH


Address: 1218 Walter Reed Rd, Fayetteville, NC 28304-4440
Phone: 9103231671

DR. SANJAY SHAH (NPI# 1689604035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689604035
Entity Type Individual
Full Name DR. SANJAY SHAH
Credential M.D.
Practice Address 1218 Walter Reed Rd
Fayetteville
NC 28304-4440
Mailing Address Attn. Managed Care Planning
Po Box 40908
Fayetteville
NC 28309
Practice Telephone 9103231671
Practice Fax Number 9103239656
Mailing Telephone 9106156949
Mailing Fax Number 9106159761
Enumeration Date 2006-07-03
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 9801484 NC Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
9801484 NC Allopathic & Osteopathic Physicians
N 207LH0002X Anesthesiology
Specialization: Hospice and Palliative Medicine
9801484 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE RAILROAD 390007497 01
NC 8911560 05

Other Providers SANJAY SHAH

NPI Name Taxonomy Address Enumeration
1588170559 Sanjay Shah Pharmacist 422 Brentwood Club Cv, Longwood, FL 32750-3354 2017-12-28
1851450886 Sanjay Shah Physical Therapist 519 Keisler Dr. Ste# 204, Cary, NC 27518-7098 2006-12-06
1487735825 Sanjay V. Shah Social Worker 12440 E. Imperial Hwy#116, Norwalk, CA 90650 2006-10-18
1952315988 Sanjay Jayantilal Shah Internal Medicine 5523 W Lariat Ln, Phoenix, AZ 85083-1231 2006-07-27
1770558413 Sanjay Shah Anesthesiology 904 Sumneytown Pike Ste 101, Spring House, PA 19002 2006-02-17
1992798581 Sanjay Panalal Shah Internal Medicine 1838 Greene Tree Rd Ste 350, Pikesville, MD 21208-7114 2005-08-30
1750751293 Sanjay Shah Psychologist 3193 Howell Mill Rd Nw, Suite 225, Atlanta, GA 30327-2119 2015-09-27
1154634095 Sanjay D Shah Internal Medicine 9434 Medical Center Dr, La Jolla, CA 92037-1337 2010-07-20
1538483144 Sanjay P Shah Pharmacist 501 Boulevard, Kenilworth, NJ 07033-1637 2010-03-25
1568624302 Sanjay R Shah Internal Medicine 246 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2156 2008-07-01

Office Location

Street Address 1218 WALTER REED RD
City FAYETTEVILLE
State NC
Zip Code 28304-4440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912953456 Independent Nephrology Services, Inc. Clinic/Center 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 2006-05-26
1780183426 Cumberland County Hospital System Inc Internal Medicine 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 2018-02-08
1689103582 Cumberland County Health System Inc Internal Medicine 1218 Walter Reed Rd, Fayetteville, NC 28304 2017-06-06
1275614430 Sandhills Nephrology and Internal Medicine, P.a. Specialist 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 2006-10-17
1184653313 Dinesh Narasimhaiah Chandra Internal Medicine 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 2006-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
Find all providers in zip 28304

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265066955 Thomas W Atkinson Md Pa Internal Medicine 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 2020-03-03
1992171078 Ferncreek Primary Care, PC Internal Medicine 1314 Medical Dr Ste 102, Fayetteville, NC 28304 2015-08-12
1356734917 Deepinder Kaur Internal Medicine 109 Shadow Oak Ln, Fayetteville, NC 28303-5015 2015-03-06
1154736510 George Augustine Blewitt Sr. Internal Medicine 6902 Saint Annes Dr, Fayetteville, PA 17222-9456 2014-06-24
1497166623 Johnny Harris II Internal Medicine 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 2014-05-09
1255754719 Phanindar Reddy Sadhu Internal Medicine Cape Fear Valley Medical Associates, 1638 Owen Drive, Fayetteville, NC 28302-2000 2014-02-03
1184069015 Trey Becton Internal Medicine 3215 N North Hills Blvd., Fayetteville, AR 72703-4424 2013-05-06
1497093900 Daniel Leon Harris Internal Medicine 14 Wheeler Ave, Fayetteville, NY 13066-2531 2013-01-18
1053669002 Statcare,llc Internal Medicine 9525 Cliffdale Rd, Fayetteville, NC 28304-5956 2012-08-23
1104113059 Chompunut Asava Aree Internal Medicine 4224 Ferncreek Dr, Fayetteville, NC 28314-2515 2011-06-29
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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