SAMAR PRAKASH SHAH (NPI# 1366686594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366686594 |
Entity Type | Individual |
Full Name | SAMAR PRAKASH SHAH |
Credential | M.D. |
Practice Address |
1400 Tullie Rd Ne Fl 5 Atlanta GA 30329-2309 |
Mailing Address |
1240 W Peachtree St Nw Apt 1314 Atlanta GA 30309-4736 |
Practice Telephone | 4047855437 |
Enumeration Date | 2009-05-01 |
Last Update Date | 2020-01-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 075345 | GA | Allopathic & Osteopathic Physicians |
Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
0075245 | GA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
239 Bryant St, Buffalo, NY 142222006 | 7168787355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093246464 | Samar Prakash Shah | Anesthesiology | 6565 N Charles St, Ppe 203, Towson, MD 21204 | 2017-03-27 |
Street Address |
1400 TULLIE RD NE FL 5 |
City | ATLANTA |
State | GA |
Zip Code | 30329-2309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538396007 | Rachel W Linnemann | Pediatrics | 1400 Tullie Rd Ne Fl 5, Atlanta, GA 30329 | 2009-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
Find all providers in zip 30329 |
Taxonomy Code | 2080P0214X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Pulmonology |
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518200369 | Sheel Nitin Shah | Pediatrics | 1400 Tullie Rd Ne Fl 7, Atlanta, GA 30329-2309 | 2013-03-30 |
1619109170 | Gabriele Renzetti | Pediatrics | 2015 Uppergate Dr Fl 3, Atlanta, GA 30322-0001 | 2009-08-18 |
1134270440 | Varada Dinkar Divgi | Pediatrics | 4468 Chamblee Dunwoody Rd, Suite M3, Atlanta, GA 30338-6253 | 2007-01-15 |
1952415184 | Daniel Matthew Torrez | Pediatrics | 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 | 2006-08-17 |
1124068101 | Peter H Scott | Pediatrics | 1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 | 2006-06-07 |
1730443680 | Ajay Srinivas Kasi | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2012-06-26 |
1225396716 | Brandon Michael Seay | Pediatrics | 859 Mount Vernon Hwy Ne Ste 300, Atlanta, GA 30328-4255 | 2012-05-02 |
1356668537 | Eric Wesley Price | Pediatrics | 2015 Uppergate Dr, Atlanta, GA 30322-0001 | 2010-04-27 |
1538396007 | Rachel W Linnemann | Pediatrics | 1400 Tullie Rd Ne Fl 5, Atlanta, GA 30329 | 2009-06-11 |
1639355142 | Allan Antonio Dias | Pediatrics | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2008-01-15 |
Find all providers in ATLANTA |
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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.