DR. SURENDRA SHANTILAL SHAH (NPI# 1104829928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104829928 |
| Entity Type | Individual |
| Full Name | DR. SURENDRA SHANTILAL SHAH |
| Credential | M.D. |
| Practice Address |
1240 S Cedar Crest Blvd Ste 305 Allentown PA 18103-6218 |
| Practice Telephone | 6108212700 |
| Practice Fax Number | 6108215431 |
| Mailing Telephone | 6108212700 |
| Mailing Fax Number | 6108215431 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD021909-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009308870002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528088689 | Surendra J Shah | Internal Medicine | 5825 Broadway, Suite A, Merrillville, IN 46410-2687 | 2006-07-20 |
| Street Address |
1240 S CEDAR CREST BLVD STE 305 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634211 | Lehigh Valley Hospital | Clinic/Center | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2020-03-18 |
| 1568941029 | Lehigh Valley Hospital | Clinic/Center | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2018-08-07 |
| 1770032252 | Laura Pritz | Physician Assistant | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2016-09-26 |
| 1871049106 | Devon Ervin | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-08-28 |
| 1881046522 | Samantha Carr | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-07-06 |
| 1770953309 | Kristen Wismer | Nurse Practitioner | 1240 S Cedar Crest Blvd, Ste 401, Allentown, PA 18103-6369 | 2015-09-25 |
| 1063891786 | Alicia Geneva Pratt | Nurse Practitioner | 1240 S Cedar Crest Blvd, Suite 208, Allentown, PA 18103-6369 | 2015-05-27 |
| 1992119440 | Roman Prosniak | Internal Medicine | 1240 S Cedar Crest Blvd, Allentown, PA 18103 | 2014-06-12 |
| 1871917658 | Lehigh Valley Physician Group | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 305, Allentown, PA 18103-6369 | 2014-02-13 |
| 1245667344 | Lehigh Valley Physician Group | Surgery | 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103-6369 | 2013-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164809547 | Zachary Wolfe | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103 | 2015-05-05 |
| 1871917658 | Lehigh Valley Physician Group | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 305, Allentown, PA 18103-6369 | 2014-02-13 |
| 1073958419 | Roberto Stefan Fratamico | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2013-04-29 |
| 1811259096 | Samuel Gboyega Adediran | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Lvpg Hematology Oncology, Allentown, PA 18103-6218 | 2012-06-13 |
| 1316222433 | Faisal Akbar | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2011-10-20 |
| 1346545464 | Paul Palyca | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 401, Allentown, PA 18103-6369 | 2011-01-20 |
| 1164735387 | Saro Sarkisian | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103 | 2010-07-16 |
| 1598916892 | Brian John Patson | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 401, Allentown, PA 18103-6369 | 2008-10-06 |
| 1740462134 | Lehigh Valley Physician Group | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 401, Allentown, PA 18103-6369 | 2007-11-28 |
| 1881803344 | William Salvatore Scialla | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 401, Allentown, PA 18103-6369 | 2007-05-22 |
| Find all providers in ALLENTOWN | ||||
Please comment or provide details below to improve the information on DR. SURENDRA SHANTILAL 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.