PURNA NANDAN SHAH (NPI# 1992180194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992180194 |
| Entity Type | Individual |
| Full Name | PURNA NANDAN SHAH |
| Credential | DMD |
| Practice Address |
G3538 Miller Rd Suite A Flint MI 48507-1271 |
| Mailing Address |
6238 Eastknoll Dr Apt 114 Grand Blanc MI 48439-5017 |
| Practice Telephone | 8106207536 |
| Mailing Telephone | 9893879767 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901021200 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053722504 | Purna Shah | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-05-17 |
| 1124006507 | Purna Shah | Internal Medicine | 200 Old Country Road, #278 Long Island Heart Associates, Mineola, NY 11501 | 2006-01-05 |
| Street Address |
G3538 MILLER RD SUITE A |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053635458 | Mohanad Ballani | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2010-03-15 |
| 1194176537 | Thomas Lin Hsieh | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2016-06-27 |
| 1225466352 | Plev, PC | Dentist | G3538 Miller Rd, Flint, MI 48507-1271 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1730673583 | Mn Kizy Dds PC | Dentist | G3535 Beecher Rd Ste 1, Flint, MI 48532-2700 | 2018-06-15 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1366970063 | Rami Nazarian | Dentist | G3535 Beecher Rd Ste J, Flint, MI 48532-2700 | 2017-05-25 |
| 1992162234 | Khalil Preston | Dentist | 3368 S Linden Rd, Flint, MI 48507-3008 | 2016-01-18 |
| 1043619463 | Mark A. Eastman | Dentist | 5301 Fenton Rd, Flint, MI 48507-4034 | 2014-08-21 |
| 1437406170 | Alireza Daneshvar | Dentist | G3500 Flushing Rd Ste 107, Flint, MI 48504-4219 | 2012-08-13 |
| 1518228527 | Lindsay Dee Smith | Dentist | 3368 S. Linden Road, Flint, MI 48507 | 2012-06-06 |
| Find all providers in FLINT | ||||
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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.