DR. DEVENDRA C. SHAH (NPI# 1164418125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164418125 |
| Entity Type | Individual |
| Full Name | DR. DEVENDRA C. SHAH |
| Credential | M.D. |
| Practice Address |
1190 W Roosevelt Blvd Monroe NC 28110-2818 |
| Mailing Address |
284 Executive Park Road Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 7042966200 |
| Practice Fax Number | 7042964669 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
94-01028 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8955414 | 05 | |
| NC | MEDCOST | C3258-B0775 | 01 |
| NC | 791127U | 05 | |
| NC | 2086026 | 2086026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700952140 | Devendra U Shah | Internal Medicine | 484 Summit St, Elgin, IL 60120-3829 | 2006-11-28 |
| Street Address |
1190 W ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742610 | Kirsten Deann Cole | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-08-26 |
| 1588283816 | Brianna Jayde Russell | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-04-16 |
| 1346874773 | Krista M Capobianco | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-25 |
| 1386278794 | Megan Small | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-24 |
| 1710523196 | Clarissa Anita Elmore | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-11-21 |
| 1730640517 | Haley Bradley | Marriage & Family Therapist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-26 |
| 1205397197 | Kelsey Fish | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2019-03-25 |
| 1649731514 | Eusheakia Blakeney | Clinical Nurse Specialist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-25 |
| 1578034930 | Chelsea Storm Elaann Griffith | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2018-12-11 |
| 1558837047 | Margaret Mendenhall | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831531227 | Farhana Kaderin | Psychiatry & Neurology | 709 Breedlove Dr, Monroe, GA 30655-2055 | 2013-07-25 |
| 1235417494 | Rehan Malik | Psychiatry & Neurology | 4 Belmont Ct, Monroe, NJ 08831 | 2011-07-21 |
| 1386896561 | Tehmi Dadi Mulla | Psychiatry & Neurology | 23 Fresh Meadow Rd, Monroe, CT 06468-1023 | 2008-10-19 |
| 1124280870 | Alexander Kushnier | Psychiatry & Neurology | 704 Breedlove Dr Ste A, Monroe, GA 30655 | 2008-06-25 |
| 1013133982 | Alfredo E Torres A Professional Medical Corporation | Psychiatry & Neurology | 141 Desiard Street, Suite 810, Monroe, LA 71201 | 2007-04-18 |
| 1477655025 | David Michael Ross | Psychiatry & Neurology | 755 Main St, Building 4, Suite B, Monroe, CT 06468-2830 | 2006-09-03 |
| 1134234362 | Marla Korlin Hires | Psychiatry & Neurology | 730 N Macomb St Ste 200, Monroe, MI 48162 | 2006-08-20 |
| 1265496830 | Scott Zentner | Psychiatry & Neurology | Monroe Regional Mental Health Center, 4800 South Grand St., Monroe, LA 71202-6412 | 2006-04-12 |
| 1154303261 | Aruna Gullapalli | Psychiatry & Neurology | 2404 Duval Dr, Monroe, LA 71201-2986 | 2005-11-15 |
| 1861839136 | Daymark Recovery Services Inc | Psychiatry & Neurology | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2013-05-28 |
| Find all providers in MONROE | ||||
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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.