KEVIN SHAH (NPI# 1861757544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861757544 |
| Entity Type | Individual |
| Full Name | KEVIN SHAH |
| Credential | M.D. |
| Practice Address |
200 W Arbor Dr # 8422 San Diego CA 92103-1911 |
| Practice Telephone | 6195432429 |
| Mailing Telephone | 6195432429 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11330788-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467816983 | Kevin Shah | Student in an Organized Health Care Education/Training Program | 5015 Chattam Ln, Tampa, FL 33624-2524 | 2016-04-11 |
| 1104117191 | Kevin Shah | Internal Medicine | 234 Crooked Creek Pkwy Ste 200, Durham, NC 27713-8506 | 2011-04-25 |
| 1780147934 | Kevin Shah | Student in an Organized Health Care Education/Training Program | 1161 21st Ave. South, D-3100 Medical Center North, Nashville, TN 37232 | 2019-04-12 |
| 1023578697 | Kevin Pankaj Shah | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1023575990 | Kevin Shah | Pharmacist | 205 Vineyard Rd, Edison, NJ 08817-4785 | 2019-02-26 |
| 1740417252 | Kevin J Shah | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2009-06-11 |
| 1255508107 | Kevin Naresh Shah | Surgery | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2008-05-09 |
| Street Address |
200 W ARBOR DR # 8422 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093151995 | Ahnika Sarah Kline | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-05-17 |
| 1578908372 | John Rossettie | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-05-07 |
| 1952746372 | Melissa Akiko Wong | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-04-30 |
| 1881038818 | Christine Anastasiou | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-04-22 |
| 1306280607 | Katherine Promer | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-04-18 |
| 1629412895 | Aron Brett Bender | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-04-18 |
| 1194168450 | Ali Akram | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2013-04-16 |
| 1215285770 | Kay Yeung | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-08-15 |
| 1831445659 | Melanie Mae Aiken | Anesthesiology | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1386113348 | Samir B Damani Md Inc | Internal Medicine | 9191 Towne Centre Dr Ste 510, San Diego, CA 92122-1231 | 2018-11-20 |
| 1790084143 | Vartan Nubar Garibyan | Internal Medicine | 4060 4th Ave Ste 500, San Diego, CA 92103-2121 | 2011-03-24 |
| 1780846881 | Julia G Ansari | Internal Medicine | 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 | 2008-06-30 |
| 1902005176 | Stanley D. Skaggs, M.d. Inc | Internal Medicine | 12985 Claymont Ct, San Diego, CA 92130-2431 | 2007-07-17 |
| 1609906841 | Laurence Dekanter Favrot | Internal Medicine | 3526 7th Ave, San Diego, CA 92103-5009 | 2007-03-06 |
| 1649314873 | Julian Howard Jacobs | Internal Medicine | 14107 Capewood Ln, San Diego, CA 92128-4208 | 2007-02-19 |
| 1811063316 | Daniel Robert Collins | Internal Medicine | 4647 Zion Ave., San Diego, CA 92120-3724 | 2006-11-27 |
| 1366523607 | H Kirk Hammond | Internal Medicine | 3350 La Jolla Village Dr # 111a, San Diego, CA 92161-0002 | 2006-10-17 |
| 1962598425 | Tri Thuong Nguyen | Internal Medicine | 4344 Convoy St. Ste T ., San Diego, CA 92111-3737 | 2006-10-04 |
| 1477644474 | Scripps Mercy Physicians Cardiology Medical Corporation | Internal Medicine | 4077 Fifth Avenue, Scripps Mercy Hospital, San Diego, CA 92103 | 2006-09-27 |
| Find all providers in SAN DIEGO | ||||
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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.