MITAL SHAH (NPI# 1730409095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730409095 |
| Entity Type | Individual |
| Full Name | MITAL SHAH |
| Credential | MD |
| Practice Address |
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504 |
| Practice Telephone | 2109163160 |
| Mailing Telephone | 2109163160 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2013-01444 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | HEALTHNET FEDERAL SERVICES | 1730409095 | 01 |
| NC | COVENTRY NATIONAL - COVENTRY PPO | 4181397 | 01 |
| NC | COVENTRY OF THE CAROLINAS | 1420402 | 01 |
| NC | DOCTORS DIRECT | 1730409095 | 01 |
| NC | HEALTHSMART | 1730409095 | 01 |
| NC | CIGNA | 5825698 | 01 |
| NC | HUMANA | 1730409095 | 01 |
| NC | 1730409095 | 05 | |
| NC | MEDCOST, LLC | 248103 | 01 |
| NC | AETNA | 4974486 | 01 |
| NC | FIRST CAROLINA CARE | FH1101550 | 01 |
| NC | UNITED HEALTHCARE | 3667912 | 01 |
| NC | PHCS-MULTIPLAN | 13318114 | 01 |
| NC | WELLPATH | 1420402 | 01 |
| NC | BCBS OF NC | 184R9 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386953719 | Mital Ankit Shah | Dentist | 761st Tank Battallion Ave, Building#330, Fort Hood, TX 76544 | 2010-10-04 |
| 1841519774 | Mital C Shah | Pharmacist | 356 Bloomfield Ave, Caldwell, NJ 07006-4905 | 2010-05-17 |
| 1720268618 | Mital Shah | Physician Assistant | 9427 Sw Barnes Rd Ste 495, Portland, OR 97225 | 2007-11-07 |
| 1538663042 | Mital Shah | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Msb 5196, Houston, TX 77030-1501 | 2018-03-20 |
| 1194111765 | Mital Shah | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2015-04-10 |
| 1366726721 | Mital B Shah | Pharmacist | 2560 W Golf Rd, Hoffman Estates, IL 60169-1114 | 2011-10-04 |
| Street Address |
3551 ROGER BROOKE DR |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093338 | Aneesh N/a Benoy | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-11-02 |
| 1164021580 | William Edward Vick | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-19 |
| 1548868003 | Julia D Coffey | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-15 |
| 1801493465 | Emiri Elliott | Registered Nurse | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-07 |
| 1437756574 | Clarence Michael Sullivan | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-01 |
| 1093320350 | Natalie Marie Greene | Physical Therapist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-09-14 |
| 1033722509 | Kody Vallejo | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-25 |
| 1558972620 | Renee Therese Hart | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-12 |
| 1235749722 | Emily Ann Robinson | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-09 |
| 1902415367 | Hannah Daniel | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871555029 | Shelly Dawn Martin | Pediatrics | 3551 Roger Brooke Dr Dept 1000, Fort Sam Houston, TX 78234-4504 | 2006-04-04 |
| 1467442723 | Thomas C. Jefferson | Pediatrics | Brooke Army Medical Center; Mche-qd/credentials, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 | 2005-10-26 |
| 1104213412 | Bryce Alston Vance | Pediatrics | 3100 Schofield Rd Bldg 1179, Fort Sam Houston, TX 78234-7577 | 2015-04-24 |
| 1932594926 | Paul Heese | Pediatrics | 3100 Schofield Rd Bldg 1179, Fort Sam Houston, TX 78234 | 2015-04-06 |
| 1720473440 | Zachary Weber | Pediatrics | 3551 Roger Brooke Dr, Brooke Army Medical Center, Mche-qd, Fort Sam Houston, TX 78234-4504 | 2015-03-31 |
| 1154711844 | Megan Garcia | Pediatrics | 3100 Schofield Rd Bldg 1179, Fort Sam Houston, TX 78234-7577 | 2015-02-02 |
| 1639599541 | Bethany Marie Hall | Pediatrics | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-04-17 |
| 1134549165 | Miguel Cano | Pediatrics | 3551 Roger Brooke Drive, Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2014-04-17 |
| 1023456027 | Katherine Darby Dobbins | Pediatrics | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2013-06-12 |
| 1326486929 | Kayla Michelle Jaeger | Pediatrics | 3100 Schofield Rd Bldg 1179, Jbsa - Ft Sam Houston, Fort Sam Houston, TX 78234-7577 | 2013-06-05 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.