MANAN JAYVANT SHAH (NPI# 1245469089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245469089 |
| Entity Type | Individual |
| Full Name | MANAN JAYVANT SHAH |
| Credential | MD |
| Practice Address |
6501 N Charles St Baltimore MD 21204-6819 |
| Practice Telephone | 4109383000 |
| Practice Fax Number | 4109385131 |
| Mailing Telephone | 4109383000 |
| Mailing Fax Number | 4109385131 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D75919 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D75919 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Lee St, Charlottesville, VA 229080136 | 4349242047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647603 | Manan Nileshkumar Shah | Pharmacist | 170 White Birch Rd, Edison, NJ 08837-2041 | 2019-09-05 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1811273618 | Manan Shah | Pharmacist | 5665 Park St N, Saint Petersburg, FL 33709-6310 | 2011-10-25 |
| 1225369218 | Manan Ashokkumar Shah | Clinic/Center | 50 Rinaldi Blvd, 6k, Poughkeepsie, NY 12601-2914 | 2010-01-15 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1184185415 | Manan Shah | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2019-03-28 |
| 1720549561 | Manan Prashant Shah | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2019-03-26 |
| 1447748991 | Manan Shah | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-04-30 |
| 1366999153 | Manan Shah | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, Mob3 Rm3260, New Brunswick, NJ 08901-1766 | 2016-09-08 |
| 1194179077 | Manan Jayant Shah | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Suite 6e, Detroit, MI 48201-2153 | 2016-04-18 |
| Street Address |
6501 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028261 | Elizabeth Marie Galik | Nurse Practitioner | 6501 N Charles St, Sheppard Pratt, Gibson Building, Baltimore, MD 21204-6819 | 2005-07-29 |
| 1477150522 | Whitney Withrow | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-10-01 |
| 1124632708 | Duaa M Tolba | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-09-01 |
| 1356953327 | Jyoti Rimal | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-08-20 |
| 1447862305 | Ethan Krause | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-08-20 |
| 1043833098 | Melissa Mainier | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-05-26 |
| 1245851161 | Felecia Traynham | Social Worker | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-05-01 |
| 1750901849 | Lisa Hoffmann | Registered Nurse | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-04-20 |
| 1780216275 | Jonathan Hershfield | Marriage & Family Therapist | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-02-12 |
| 1114559846 | Meghan C Skrynecki | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| 1639366032 | Joseph S Bierman | Psychiatry & Neurology | 2 Olmstead Green Ct, Baltimore, MD 21210-1508 | 2007-09-28 |
| 1790905826 | Carla Stephanie Brown | Psychiatry & Neurology | 6501 N Charles Street, Baltimore, MD 21285-6815 | 2007-04-30 |
| 1093861221 | Evanne Loh Hoehn-saric | Psychiatry & Neurology | 2700 Washington Ave, Baltimore, MD 21227-3115 | 2007-01-29 |
| 1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
| 1639701956 | Johns Hopkins Bayview Medical Center, Inc. | Psychiatry & Neurology | 5500 E Lombard St Rm 1025, Baltimore, MD 21224-1731 | 2020-02-05 |
| 1265951404 | Faye Park | Psychiatry & Neurology | 716 N Broadway, Baltimore, MD 21205-1806 | 2017-09-19 |
| 1245625318 | Raheela Sultan | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 | 2015-04-05 |
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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.