DR. SHABANA KHAN SHAH (NPI# 1962693309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962693309 |
| Entity Type | Individual |
| Full Name | DR. SHABANA KHAN SHAH |
| Other Name | DR. SHABANA KAUSER KHAN |
| Credential | MD |
| Practice Address |
393 E Walnut Street 3rd Floor Pasadena CA 91188-2507 |
| Mailing Address |
26526 Craftsmen Ct Santa Clarita CA 91350-5726 |
| Practice Telephone | 3108099103 |
| Mailing Telephone | 3108099103 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2009-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A86063 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD | DA6447 | 01 |
| CA | HARBOR UCLA MEDICAL CENTER | M050376 | 01 |
| Street Address |
393 E WALNUT STREET 3RD FLOOR |
| City | PASADENA |
| State | CA |
| Zip Code | 91188-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467776096 | Hamida Khanmohammed | Nurse Practitioner | 393 East Walnut Street, Pasadena, Ca 91188, Southern California Permanente Medical Group, Pasadena, CA 91188 | 2010-03-25 |
| 1700853728 | Candace A. Elliott | Nurse Practitioner | 393 East Walnut Street, Pasadena, CA 91188 | 2006-03-08 |
| 1932681723 | Tracey Bush | Social Worker | 393 E Walnut St Fl 64w196, Pasadena, CA 91188-0001 | 2018-08-29 |
| 1790045516 | Ashley Nicole Madsen | Registered Nurse | 363 E Walnut St, Pasadena, CA 91188-0001 | 2012-05-26 |
| 1053679472 | Sabrina Perrino | Pediatrics | 393 E Walnut Street Pasadena Ca 91188, Pasadena, CA 91188-0001 | 2012-04-24 |
| 1740446236 | Kaiser Permanente Panorama City Medical Center | General Acute Care Hospital | 393 E. Walnut St, Fl 3 -phrs, Pasadena, CA 91188-0001 | 2008-08-04 |
| 1033394408 | Rasiq Abdul Jabbar Ahmed | Specialist | 393 E Walnut Street Kaiser Permanente, Pasadena, CA 91188-0001 | 2008-01-04 |
| 1043494818 | Michael Boytim | Registered Nurse | 100 S Los Robles Suite 550, Pasadena, CA 91188-0001 | 2007-12-28 |
| 1538221296 | Monica Maritza Alvarado | Genetic Counselor, MS | 393 E Walnut Street 6 Sw, Regional Genetic Services, Pasadena, CA 91188-0001 | 2006-12-15 |
| 1295778090 | Jorge Antonio Fernandez Jr. | Emergency Medicine | 393 E. Walnut Street, Pasadena, CA 91188-0001 | 2006-06-13 |
| Find all providers in zip 91188 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770829301 | Jacquelyn Martin Walker | Family Medicine | 831 S El Molino Ave, Pasadena, CA 91106-4411 | 2013-01-01 |
| 1689133456 | Kelly Brooke Padgett | Family Medicine | 5030 Crenshaw Rd, Pasadena, TX 77505-3140 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
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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.