DR. JIGNA A SHAH (NPI# 1295817617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295817617 |
Entity Type | Individual |
Full Name | DR. JIGNA A SHAH |
Credential | M.D. |
Practice Address |
4646 John R St Detroit MI 48201 |
Mailing Address |
4088 Parkstone Ct Troy MI 48098-4400 |
Practice Telephone | 3135761000 |
Mailing Telephone | 2487619816 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2018-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301064035 | MI | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
43010644035 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639647704 | Jigna B Shah | Counselor | 999 Civic Center Dr Fl 3, Niles, IL 60714-3224 | 2018-11-07 |
1033309786 | Jigna Hitesh Shah | Internal Medicine | 1000 Waterman Way, Tavares, FL 32778-5266 | 2007-07-30 |
Street Address |
4646 JOHN R ST |
City | DETROIT |
State | MI |
Zip Code | 48201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356344121 | Christopher Emil Hermann | Nurse Practitioner | 4646 John R St, Detroit, MI 48201-1916 | 2005-05-24 |
1881293892 | Derrick Williams | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-10-21 |
1598371544 | Sonia Govil | Dietitian, Registered | 4646 John R St, Detroit, MI 48201-1916 | 2020-09-16 |
1740893569 | Nicholas Edward Peters | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-31 |
1710597455 | Amber Michelle Young | Social Worker | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-07 |
1104434471 | Zeinab H Moussa | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-22 |
1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
1477171189 | Rima Mohammad Fardos | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-09 |
1992323869 | Sarah F Waqhar | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-08 |
1619594181 | Mellisa Ann Boyle | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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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 |
---|---|---|---|---|
1285126797 | Vijaya Gopal Kotha Md PC | Psychiatry & Neurology | 22101 Moross Rd Fl 6, Detroit, MI 48236-2148 | 2018-05-31 |
1851831713 | Jennifer L Rostamabadi-cook | Psychiatry & Neurology | 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 | 2017-02-26 |
1447604608 | Zaid Baha | Psychiatry & Neurology | 14533 Mack Ave, Detroit, MI 48215-2520 | 2016-04-14 |
1487035127 | Shehryar Khan | Psychiatry & Neurology | 1350 W Bethune St Apt 1704, Henry Ford Hospital Guest Housing, Detroit, MI 48202-2666 | 2015-06-17 |
1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
1588979421 | Tiwalola Olufunke Kolawole | Psychiatry & Neurology | 1 Ford Pl Ste 1f, Detroit, MI 48202-3450 | 2010-08-16 |
1033445754 | Robert Dale Smeed Jr. | Psychiatry & Neurology | 400 River Place Dr, Apt 4212, Detroit, MI 48207-5202 | 2009-10-30 |
1962699736 | Wendy Joy Besler | Psychiatry & Neurology | 3031 W Grand Blvd Ste 450, Detroit, MI 48202-3026 | 2007-09-26 |
1649497850 | Lindsay Rose Dykema | Psychiatry & Neurology | 2255 Atkinson St, Detroit, MI 48206-2010 | 2007-04-19 |
1316079270 | Bardia Gholami | Psychiatry & Neurology | 3901 Chrysler Dr Fl 3, Detroit, MI 48201 | 2007-03-09 |
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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.