DR. MANISH SHAH (NPI# 1902001936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902001936 |
| Entity Type | Individual |
| Full Name | DR. MANISH SHAH |
| Credential | M.D. |
| Practice Address |
4510 Frankford Ave Philadelphia PA 19124-3602 |
| Mailing Address |
1401 S 31st St Fl 2 Philadelphia PA 19146-3506 |
| Practice Telephone | 2157441302 |
| Practice Fax Number | 2157442544 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159259162 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD444517 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 266248 | NY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 0101245248 | VA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 57.010801 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDPHP | PRC200255927 | 01 | |
| MVP | 7805472 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 99 East State Street, Gloversville, NY 120780010 | 5187735729 | 5187754118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675658 | Manish Girish Shah | Radiology | 1231 Founders Lake Dr, Athens, GA 30606-7645 | 2007-06-07 |
| 1902826035 | Manish N Shah | Internal Medicine | 2038 Ashley Oaks Drive, Suite 102, Wesley Chapel, FL 33543-7013 | 2006-07-20 |
| 1558328625 | Manish Shah | Urology | 713 Goodyear Ave, Gadsden, AL 35903-1156 | 2006-05-01 |
| 1174910038 | Manish H Shah | Pharmacist | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2015-04-18 |
| 1548557275 | Manish Mansukhlal Shah | Internal Medicine | 1501 N Campbell Ave, Division of Inpatient Medicine, Tucson, AZ 85724-5212 | 2011-07-01 |
| 1962792986 | Manish Shah | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-04-11 |
| 1790086676 | Manish D Shah | Otolaryngology | 550 Peachtree St Ne, 9th Floor, Suite 4400, Atlanta, GA 30308-2208 | 2010-11-09 |
| 1669670071 | Manish A Shah | Internal Medicine | 254 Easton Ave, New Brunswick, NJ 08901 | 2007-07-06 |
| 1619186202 | Manish Dhiraj Shah | Internal Medicine | 301 Saint Paul Pl, 5th Floor, Baltimore, MD 21202-2102 | 2007-05-21 |
| 1255483657 | Manish Shah | Optometrist | 10 Gove St, East Boston, MA 02128-1920 | 2007-01-17 |
| Street Address |
4510 FRANKFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064015 | Andrew R Quint | Internal Medicine | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2006-02-27 |
| 1922650415 | Johnnie C Young Sr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-07-15 |
| 1265098768 | Katherine Ierardi | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124 | 2019-05-10 |
| 1306319504 | Christopher Aguilar | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-01-10 |
| 1831661362 | Kevin Williams Jr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-12-21 |
| 1508334186 | Danielle Mangiaracina | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-11-13 |
| 1518442086 | Christine J Kim | Dentist | 4510 Frankford Ave, Philadelphia, PA 19124 | 2018-10-01 |
| 1770080160 | Tiffany Filomena Interra | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-04-11 |
| 1770019481 | Patricia Richardson | Counselor | 4510 Frankford Ave, 2nd Floor, Philadelphia, PA 19124-3602 | 2017-05-02 |
| 1912447533 | Tiffany Reid | Nurse Practitioner | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1881114742 | Andrea Jasmine Leung | Obstetrics & Gynecology | 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 | 2017-06-22 |
| 1548798093 | Dimitrios Nasioudis | Obstetrics & Gynecology | 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 | 2017-05-30 |
| 1811449697 | West Cayuga Medicine PC | Obstetrics & Gynecology | 257 W Cayuga St, Philadelphia, PA 19140-2439 | 2016-10-27 |
| 1447631536 | Clinton Veselis | Obstetrics & Gynecology | 3401 N Broad St Dept Of, Philadelphia, PA 19140 | 2015-06-15 |
| 1811378979 | Nishanth Sidduri | Obstetrics & Gynecology | 400 W Allegheny Ave Ste 5b, Philadelphia, PA 19133-3614 | 2015-06-15 |
| 1396158820 | Elizabeth Carey Banks | Obstetrics & Gynecology | 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 | 2014-06-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on DR. MANISH 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.