Niyati B Shah (NPI# 1891136354, PAC ID# 2567763808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891136354 |
| PAC ID by PECOS | 2567763808 |
| Professional Enrollment ID | I20161220001004 |
| Full Name | Niyati B Shah |
| Organization Legal Name | PACKARD HEALTH INC |
| Address |
200 Arnet St Suite 150 Ypsilanti MI 48198-5753 |
| Phone Number | 7349857200 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204876113 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 | 7349857200 | PACKARD HEALTH INC |
| Organization Legal Name | PACKARD HEALTH INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaila A Queen | Family Medicine | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Ankoor B Soni | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| April Diane Bigelow | Nurse Practitioner | Packard Health Inc | 312 W Huron St, Ann Arbor, MI 48103-4204 |
| Raymond J Rion | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Elizabeth Ann Orlowski | Nurse Practitioner | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Grace Kelley | Nurse Practitioner | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Chin Hwa Yi Dahlem | Nurse Practitioner | Packard Health Inc | 312 W Huron St, Ann Arbor, MI 48103-4204 |
| Lindsey V Kotagal | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Holly E Ross | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Ravi A Vadlamudi | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Street Address |
200 ARNET ST SUITE 150 |
| City | YPSILANTI |
| State | MI |
| Zip | 48198-5753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaila A Queen | Family Medicine | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Vincent D Dinick | Plastic and Reconstructive Surgery | 200 Arnet St, Suite 180, Ypsilanti, MI 48198-5753 | |
| Angie Wang | Family Practice | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Carisalyn N Cousin | Nurse Practitioner | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Sue Storie | Clinical Social Worker | 555 Hunt Pl, Ypsilanti, MI 48198-3922 | |
| Kenneth Michael Pearson | Chiropractic | 324 Miles St, Ypsilanti, MI 48198-4000 | |
| Shahida H Khan | Internal Medicine | 428 S Grove Dr, Ypsilanti, MI 48198-5662 | |
| Kelly A Hammill | Nurse Practitioner | County of Washtenaw | 555 Towner St, Ypsilanti, MI 48198-5723 |
| Martha F Young | Nurse Practitioner | County of Washtenaw | 555 Towner St, Ypsilanti, MI 48198-5723 |
| Robert David Brooks | Family Medicine | Brooks Lyon and Brooks Do PC | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 |
| Charles R Lyon | Family Medicine | Brooks Lyon and Brooks Do PC | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 |
| Muhammad Tayyab | Internal Medicine | 505 Tyler Rd, Ypsilanti, MI 48198-5738 | |
| Daniel M Mayman | Psychiatry | County of Washtenaw | 555 Towner St, Ypsilanti, MI 48198-5752 |
| Athar Siddiqui | Internal Medicine | Medical Associates PC | 428 S Grove St, Ypsilanti, MI 48198-5782 |
| Find all physicians in zip 48198 | |||
| City | YPSILANTI |
| Zip Code | 48198 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | YPSILANTI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Niyati B Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.