DR. RENA SHAH


Address: 3435 W Broadway Ave, Robbinsdale, MN 55422-2969
Phone: 7635812800

DR. RENA SHAH (NPI# 1750670667) 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) 1750670667
Entity Type Individual
Full Name DR. RENA SHAH
Credential MD
Practice Address 3435 W Broadway Ave
Robbinsdale
MN 55422-2969
Mailing Address 3300 Oakdale Ave N
Minneapolis
MN 55422-2926
Practice Telephone 7635812800
Practice Fax Number 7635812801
Mailing Telephone 7635202000
Enumeration Date 2011-03-31
Last Update Date 2018-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 60367 WI Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
63362 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1750670667 05

Office Location

Street Address 3435 W BROADWAY AVE
City ROBBINSDALE
State MN
Zip Code 55422-2969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437148244 Joy M Larsen Haidle Genetic Counselor, MS 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2922 2005-10-14
1245645472 Kathryn Douglass Genetic Counselor, MS 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 2014-06-26
1568800894 Christine Marie Wiese Nurse Practitioner 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 2013-06-09
1538411855 Yazmin M. Clark Nurse Practitioner 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 2012-10-10
1043580178 Shirley Jean Kern Clinical Nurse Specialist 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 2012-01-05
1437429651 Jean Borgerding Pupkes Clinical Nurse Specialist 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 2012-01-04
1508157652 Ashley Marie Deckman Genetic Counselor, MS 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2969 2011-04-25
1699065946 Robert John Schneidewend Internal Medicine 3435 W Broadway Ave, Robbinsdale, MN 55422 2011-04-07
1700185287 Karen Marie Palmer Dietitian, Registered 3435 W Broadway Ave, North Memorial Outpatient Center, Robbinsdale, MN 55422-2969 2011-03-23
1093905259 North Memorial Health Care Pharmacy 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2922 2007-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154966794 Trevor Velin Chiropractor Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 2019-11-07
1780165134 American Current Care of Minnesota PC Clinic/Center 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 2018-08-23
1366928426 Creekside Family Dental Pllc Dentist Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 2018-07-12
1497249536 Luke Utecht Psychologist 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 2018-06-21
1821582115 Ajaa Oliver Registered Nurse 3606 Zenith Ave N, Robbinsdale, MN 55422 2018-06-19
1306348024 Leila Jean Erlandson Marriage & Family Therapist Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 2018-03-08
1467969907 Minneapolis Health Clinic Pllc Internal Medicine 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 2018-01-05
1275049116 Lake Town Homecare, LLC In Home Supportive Care 4119 Scott Ave N, Robbinsdale, MN 55422 2017-12-14
1750894002 Unihealth Home Care, LLC Home Health 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 2017-11-08
1194172296 Crosscultural Health Care Inc Home Health 5801 Duluth Street Suite 310, Golden Valley, MN 55422 2016-05-18
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073605952 John Manion Internal Medicine 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 2006-09-29
1699065946 Robert John Schneidewend Internal Medicine 3435 W Broadway Ave, Robbinsdale, MN 55422 2011-04-07
1245322122 Harold N Londer Internal Medicine 3435 West Broadway, Suite 1135, Robbinsdale, MN 55422 2006-09-29
1699705491 Avanti Mehrotra Internal Medicine 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2969 2006-07-04
1518996081 Rebecca R Thomas Internal Medicine 3435 W Broadway Ave, 1135, Robbinsdale, MN 55422-2969 2006-06-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780041301 Nicole Jacobi Internal Medicine 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 2016-01-27
1366691636 Laxmidas Anant Sawkar Internal Medicine 11376 Sandcastle Dr, Woodbury, MN 55129-8562 2008-09-11
1669628517 Howard Clark Hoagland Internal Medicine 1705 Folwell Dr Sw, Rochester, MN 55902-0987 2008-08-12
1366626343 Hilary Ikenna Ufearo Internal Medicine 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 2007-12-26
1598851198 Douglas Yee Internal Medicine Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 2006-10-04
1194817072 Robert D Winston Internal Medicine 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 2006-09-29
1023111531 Ayse Malcolm Internal Medicine 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 2006-09-07
1821008996 Joseph Michael Cardamone Jr. Internal Medicine 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 2006-08-09
1134135106 Kendra L. Kubiak Internal Medicine 3931 Louisiana Avenue, St Louis Park, MN 55426 2006-07-31
1093760290 Girum L Lemma Internal Medicine 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709 2006-05-24
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Competitor

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City ROBBINSDALE
Zip Code 55422

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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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