SIDDHARTH ASHOKKUMAR SHAH (NPI# 1720213689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720213689 |
| Entity Type | Individual |
| Full Name | SIDDHARTH ASHOKKUMAR SHAH |
| Credential | M.D. |
| Practice Address |
411 E Chestnut St Louisville KY 40202-1713 |
| Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
| Practice Telephone | 5025884970 |
| Practice Fax Number | 5025887713 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
46307 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306347984 | Siddharth Shah | Perfusionist | 4000 Presidential Blvd Apt 1119, Philadelphia, PA 19131-1721 | 2018-02-28 |
| 1194770461 | Siddharth Rajnikant Shah | Family Medicine | 2038 Springdale Ln, Tarrant, AL 35217-2028 | 2006-05-24 |
| 1619331147 | Siddharth Kirit Shah | Psychiatry & Neurology | 6360 Mableton Pkwy Sw, Mableton, GA 30126-5210 | 2016-04-11 |
| 1518341940 | Siddharth Paresh Shah | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-07-15 |
| 1407059710 | Siddharth P Shah | Internal Medicine | 3400 Spruce Street, 1 Founders, Philadelphia, PA 19104-2640 | 2007-06-06 |
| 1821208067 | Siddharth Ashvin Shah | Preventive Medicine | 908 New Hampshire Ave Nw, Ste 200, Washington, DC 20037-2346 | 2007-05-23 |
| 1386703619 | Siddharth A. Shah | Emergency Medicine | 1 Mercy Ln, Suite 401, Hot Springs, AR 71913-6442 | 2006-12-06 |
| 1174510358 | Siddharth H Shah | Psychiatry & Neurology | 4762 Rowan Rd, New Port Richey, FL 34653-5601 | 2005-10-03 |
| Street Address |
411 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751044 | Lisa Rachelle Klein | Pediatrics | 411 E Chestnut St, Louisville, KY 40202-1713 | 2005-06-27 |
| 1629686977 | Kennedy Paige Richardson | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-07-22 |
| 1487279089 | Laura Allen | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-06-10 |
| 1104448927 | Daniel Winn Serber | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-05-14 |
| 1952941924 | Sarah Hayden | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-01-08 |
| 1477190635 | Bethany Ann Plummer | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-12-06 |
| 1578123444 | Hallie Shpack Lyninger | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-06-13 |
| 1255994968 | Lori Rae Hibbs | Social Worker | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-04-18 |
| 1255857421 | Blakley E Hackman | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202 | 2017-08-18 |
| 1972026797 | Lara Marie Isaacs | Speech-Language Pathologist | 411 E Chestnut St, Louisville, KY 40202-1713 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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 |
|---|---|---|---|---|
| 1790116143 | University of Louisville Research Foundation | Pediatrics | 234 E Gray St, Suite 270, Louisville, KY 40202-1900 | 2013-12-11 |
| 1336405869 | University of Louisville Research Foundation | Pediatrics | 210 E Gray St, Suite 1000, Louisville, KY 40202-3900 | 2012-04-10 |
| 1255697983 | University of Louisville Physicians | Pediatrics | 210 E Gray St, Suite 1000, Louisville, KY 40202-3900 | 2012-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619144474 | Aftab Shakir Chishti | Pediatrics | 740 S Limestone St, Room J460, Lexington, KY 40536-0001 | 2008-05-12 |
| 1790705135 | Elizabeth Conner Jackson | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-20 |
| 1699791038 | Stefan Guenter Kiessling | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-15 |
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.