Mukund G Shah (NPI# 1801977632, PAC ID# 4789602061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1801977632 |
| PAC ID by PECOS | 4789602061 |
| Professional Enrollment ID | I20051104000394 |
| Full Name | Mukund G Shah |
| Organization Legal Name | VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION |
| Address |
38660 Medical Ctr Dr A 380 Palmdale CA 93551-4385 |
| Phone Number | 6612084789 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1969 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 8820045966 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051333 | RIDGECREST REGIONAL HOSPITAL |
| 050056 | ANTELOPE VALLEY HOSPITAL |
| 050204 | PALMDALE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 38660 Medical Ctr Dr, A 380, Palmdale, CA 93551-4385 | 6612084789 | VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION |
| 1517 N Downs St, Ridgecrest, CA 93555-2456 | 7604467714 | VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 83% | |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 100% |
| Organization Legal Name | VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Artour Torossian | Radiation Oncology | Valley Tumor Medical Group A Medical Corporation | 1517 N Downs St, Ridgecrest, CA 93555-2456 |
| Yuchi P Peng | Radiation Oncology | Valley Tumor Medical Group A Medical Corporation | 38660 Medical Ctr Dr, A 380, Palmdale, CA 93551-4385 |
| Neeraj Agnihotri | Hematology/oncology | Valley Tumor Medical Group A Medical Corporation | 38660 Medical Ctr Dr, A 380, Palmdale, CA 93551-4385 |
| Amartej Merla | Hematology/oncology | Valley Tumor Medical Group A Medical Corporation | 1517 N Downs St, Ridgecrest, CA 93555-2456 |
| Street Address |
38660 MEDICAL CTR DR A 380 |
| City | PALMDALE |
| State | CA |
| Zip | 93551-4385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yuchi P Peng | Radiation Oncology | Valley Tumor Medical Group A Medical Corporation | 38660 Medical Ctr Dr, A 380, Palmdale, CA 93551-4385 |
| Neeraj Agnihotri | Hematology/oncology | Valley Tumor Medical Group A Medical Corporation | 38660 Medical Ctr Dr, A 380, Palmdale, CA 93551-4385 |
| Raffi P Kartalian | Emergency Medicine | 38660 Medical Ctr Dr, Suite A150, Palmdale, CA 93551-4385 | |
| Stanley Z Cowen | General Surgery | 38660 Medical Ctr Dr, Suite A150, Palmdale, CA 93551-4385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kinan Hadaya | Chiropractic | 615 W Ave Q, Suite E, Palmdale, CA 93551 | |
| Viken S Manjikian | Diagnostic Radiology | Radiology Associates of South Florida LLC | 41038 36th St W, Palmdale, CA 93551-1231 |
| Latifat O Olafimihan | Physical Therapy | West Point Physical Therapy Center, Inc | 1115 W Ave, M14, Palmdale, CA 93551-1407 |
| Graciela S Marzocchetti | Physical Therapy | West Point Physical Therapy Center, Inc | 1115 W Ave, M14, Palmdale, CA 93551-1407 |
| Robert B Bowen | Occupational Therapy | West Point Physical Therapy Center, Inc | 1115 W Ave, M14, Palmdale, CA 93551-1407 |
| Tyler Alan Carson | Neurosurgery | Dr Kamran Parsa Inc | 1120 W Ave, M4, Palmdale, CA 93551-1432 |
| Kamran Parsa | Neurosurgery | Dr Kamran Parsa Inc | 1120 W Ave, M4, Palmdale, CA 93551-1432 |
| John H H Fisher | Nephrology | A.v. Meridien Medical Group, Inc | 1007 W Ave, M14 Suite B 1, Palmdale, CA 93551-1443 |
| Robert M Jackson | Otolaryngology | 41250 12th W St C, Palmdale, CA 93551-1444 | |
| Ric S Garrison | Family Medicine | 41210 11th St W, Suite C, Palmdale, CA 93551-1447 | |
| Find all physicians in zip 93551 | |||
| City | PALMDALE |
| Zip Code | 93551 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | PALMDALE + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Mukund G 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.