KRUPA MAHESH SHAH (NPI# 1174968846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174968846 |
| Entity Type | Individual |
| Full Name | KRUPA MAHESH SHAH |
| Practice Address |
1615 N Convent St Ste 1 Bourbonnais IL 60914-1081 |
| Mailing Address |
1615 N Convent St Ste 1 Bourbonnais IL 60914-1081 |
| Practice Telephone | 8159375200 |
| Practice Fax Number | 8159372063 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036139908 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 N Wall St, Kankakee, IL 609012901 | 8159286273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114217650 | Krupa Shah | Occupational Therapist | 17 Wellesley Rd, Parlin, NJ 08859-1223 | 2011-04-18 |
| 1609978253 | Krupa Shah | Family Medicine | 1000 South Ave # 58, Rochester, NY 14620-2733 | 2006-09-03 |
| 1205295060 | Krupa Shah | Nurse Practitioner | 1950 S Country Club Dr, Mesa, AZ 85210-6043 | 2016-02-22 |
| 1720232978 | Krupa Shah | Physician Assistant | 900 S Caton Avenue, Baltmore, MD 21229 | 2008-11-13 |
| 1083655369 | Krupa Shah | Family Medicine | 1294 W 6th St, Suite 204, San Pedro, CA 90731-2987 | 2006-06-09 |
| Street Address |
1615 N CONVENT ST STE 1 |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780847384 | Ashish Rajesh Shah | Internal Medicine | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2008-07-03 |
| 1871093047 | Gi Partners of Illinois, LLC | Internal Medicine | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2018-02-14 |
| 1073979654 | Sarah Jeanette Coyne | Nurse Practitioner | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2016-01-12 |
| 1235524711 | Melissa Rivette | Nurse Practitioner | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780847384 | Ashish Rajesh Shah | Internal Medicine | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2008-07-03 |
| 1407966302 | Digestive Diseases Consultants of Kankakee, Sc | Internal Medicine | 1615 N. Convent St, Ste 1, Bourbonnais, IL 60914 | 2006-08-30 |
| 1710984224 | Syed Bokhari | Internal Medicine | 1615 N Convent St, Ste. 1, Bourbonnais, IL 60914-1092 | 2005-06-30 |
| 1871093047 | Gi Partners of Illinois, LLC | Internal Medicine | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2018-02-14 |
| 1285863308 | Matthew Kaplan | Internal Medicine | 1615 N Convent St, Bourbonnais, IL 60914-1081 | 2009-07-10 |
| 1568649382 | Nikhil Bhargava | Internal Medicine | 1615 N Convent St, Ste. 1, Bourbonnais, IL 60914-1081 | 2008-01-23 |
| 1558460022 | Brian C Sasso | Internal Medicine | 1615 N Convent St, Ste 1, Bourbonnais, IL 60914 | 2006-09-21 |
| 1689662975 | Daniel Errampalli | Internal Medicine | 1615 N Convent St, Bourbonnais, IL 60914-1092 | 2005-10-11 |
| 1760470033 | Thomas O'connor | Internal Medicine | 1615 N Convent St, Bourbonnais, IL 60914-1092 | 2005-10-11 |
| 1619976909 | David B Sutherland | Internal Medicine | 1615 N Convent St, Bourbonnais, IL 60914-1092 | 2005-07-19 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
Please comment or provide details below to improve the information on KRUPA MAHESH 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.