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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICARE RAILROAD | 390007497 | 01 |
NC | 8911560 | 05 |
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 |
Street Address |
1218 WALTER REED RD |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28304-4440 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | FAYETTEVILLE |
Zip Code | 28304 |
Please comment or provide details below to improve the information on DR. SANJAY 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.