DR. NIKETA C SHAH (NPI# 1134350499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134350499 |
| Entity Type | Individual |
| Full Name | DR. NIKETA C SHAH |
| Credential | MD |
| Practice Address |
330 Cedar St Lmp 2073 New Haven CT 06510-3218 |
| Practice Telephone | 2037854640 |
| Practice Fax Number | 2037372228 |
| Mailing Telephone | 2037854640 |
| Mailing Fax Number | 2037372228 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
55327 | CT | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
43224 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 548837 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447626700 | Niketa Shah | Dentist | 106 W Bartlett Ave, Bartlett, IL 60103-7880 | 2015-08-20 |
| Street Address |
330 CEDAR ST LMP 2073 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215909072 | Jonathan Thomas Puchalski | Internal Medicine | 330 Cedar St, Boardman Building Rm 205, New Haven, CT 06510-3218 | 2006-02-06 |
| 1386171361 | Rajiv Jaisimha Iyengar | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-22 |
| 1356878987 | Michelle Catherinne Salazar Marulanda | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-14 |
| 1861928715 | Grace Chao | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-11 |
| 1346772449 | Mitsutomo Yamada | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh - Eb204, New Haven, CT 06510-3218 | 2017-03-29 |
| 1528500030 | Annmarie Shabazian | Physician Assistant | 330 Cedar St, Bb205, New Haven, CT 06510-3218 | 2016-11-15 |
| 1003264854 | Matthew Shaughnessy | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh- Dept of Surgery, New Haven, CT 06510-3218 | 2016-06-01 |
| 1538517867 | Tareq Ghazi Sawan | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh, Department of Surgery, New Haven, CT 06510-3218 | 2016-05-26 |
| 1922456425 | Abedalrazaq Osama Alkukhun | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh Dept of Surgery, New Haven, CT 06510-3218 | 2016-05-25 |
| 1922455732 | Sameh Yousef | Student in an Organized Health Care Education/Training Program | 330 Cedar St, 107, New Haven, CT 06510-3218 | 2016-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184093163 | Vidya Puthenpura | Pediatrics | 20 York St, New Haven, CT 06510 | 2015-09-18 |
| 1275945115 | Rozalyn Levine Rodwin | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2014-05-27 |
| 1235577792 | Stephanie Diana Prozora | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-06 |
| 1295039675 | Yale Hemophilia Treatment Center | Pediatrics | 333 Cedar Street, Department of Pediatrics, 2073 Lmp, New Haven, CT 06520-8064 | 2010-12-29 |
| 1740508050 | Juan Vasquez | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2010-05-11 |
| 1851534481 | Stephanie Ann Massaro | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06520-8064 | 2009-04-13 |
| 1982865903 | Prasanna J Ananth | Pediatrics | 35 Park St, New Haven, CT 06519-1110 | 2008-06-23 |
| 1790942670 | Asher Marks | Pediatrics | 20 York St, Lmp-2073, New Haven, CT 06510-3220 | 2008-05-19 |
| 1114100104 | Salley Gibney Pels | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2007-12-12 |
| 1407980857 | Kavita Dhodapkar | Pediatrics | 20 York Street, Pediatric Hematology Oncology, New Haven, CT 06520-8064 | 2007-03-16 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on DR. NIKETA C 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.