DR. KEVIN NARESH SHAH (NPI# 1255508107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255508107 |
| Entity Type | Individual |
| Full Name | DR. KEVIN NARESH SHAH |
| Credential | MD |
| Practice Address |
20 Duke Medicine Cir Durham NC 27710-2000 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 57.013619 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
2012-01027 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467816983 | Kevin Shah | Student in an Organized Health Care Education/Training Program | 5015 Chattam Ln, Tampa, FL 33624-2524 | 2016-04-11 |
| 1861757544 | Kevin Shah | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-07-10 |
| 1104117191 | Kevin Shah | Internal Medicine | 234 Crooked Creek Pkwy Ste 200, Durham, NC 27713-8506 | 2011-04-25 |
| 1780147934 | Kevin Shah | Student in an Organized Health Care Education/Training Program | 1161 21st Ave. South, D-3100 Medical Center North, Nashville, TN 37232 | 2019-04-12 |
| 1023578697 | Kevin Pankaj Shah | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1023575990 | Kevin Shah | Pharmacist | 205 Vineyard Rd, Edison, NJ 08817-4785 | 2019-02-26 |
| 1740417252 | Kevin J Shah | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2009-06-11 |
| Street Address |
20 DUKE MEDICINE CIR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649249210 | Susanne Davis Jacobs | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2006-03-16 |
| 1790309607 | Tabita Tavoc | Physician Assistant | 20 Duke Medicine Cir, Durham, NC 27710-8890 | 2020-06-05 |
| 1306469986 | Nicholette Taylor Sloat | Genetic Counselor, MS | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2020-05-18 |
| 1982265369 | Rachel Pienknagura | Internal Medicine | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2019-06-26 |
| 1912482498 | Susan Faye Dent | Internal Medicine | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2018-10-01 |
| 1285158576 | Gema Gonzalez | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710 | 2017-07-28 |
| 1467975375 | Margaret Alyssa Powell | Genetic Counselor, MS | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2017-07-23 |
| 1861856981 | Benjamin Brown Albright | Student in an Organized Health Care Education/Training Program | 20 Duke Medicine Cir, Durham, NC 27710-4238 | 2016-04-06 |
| 1194196477 | Amy Marie Tammenga | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2015-10-13 |
| 1760888770 | Jennifer Jolynn Meadows | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710-8221 | 2014-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
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| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467852137 | Kenneth Leung | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2014-08-29 |
| 1417290750 | Mathias Worni | Surgery | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2013-04-05 |
| 1285830604 | Michael T Stang | Surgery | 2301 Erwin Rd, Durham, NC 27710-3215 | 2007-06-22 |
| 1730242512 | Cary Robertson | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1003996018 | Philip Walther | Surgery | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-10-16 |
| 1578583779 | Dan German Blazer IIi | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-07-20 |
| 1790726941 | Scott Knowles Pruitt | Surgery | 508 Fulton St, Durham Va Medical Center, Durham, NC 27705-3875 | 2006-06-09 |
| 1871531624 | Randall Paul Scheri | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558604520 | Benjamin William Deschner | Surgery | 21 Hospital Dr Fl 2, Asheville, NC 28801-4550 | 2013-03-28 |
| 1578072989 | Carter Martens | Surgery | 2104 Randolph Rd, Charlotte, NC 28207-1522 | 2017-09-28 |
| 1942554969 | Sonia Rosanne Cader | Surgery | 170 Manning Dr, 1150 Physicians Office Bldg., Cb#721, Chapel Hill, NC 27514-4221 | 2012-10-29 |
| 1033489687 | The Charlotte-mecklenburg Hospital Authority | Surgery | 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 28262-7782 | 2012-01-12 |
| 1659692440 | Princess Nicole Thomas | Surgery | 150 Fairview Rd, Ste 110, Mooresville, NC 28117-9506 | 2010-06-16 |
| 1699902742 | Amy Voci | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-16 |
| 1073768461 | Western Surgical Center, Pa | Surgery | 60 Livingston St, Suite 300, Asheville, NC 28801 | 2008-11-26 |
| 1861645046 | Zvonimir Milas | Surgery | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2008-10-31 |
| 1871758235 | Michelle Marie Fillion | Surgery | 2131 S 17th St, Wilmington, NC 28401-7407 | 2008-07-25 |
| 1508021932 | Ashley Stewart | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2008-07-24 |
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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.