DR. SIDDHARTH P SHAH (NPI# 1407059710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407059710 |
| Entity Type | Individual |
| Full Name | DR. SIDDHARTH P SHAH |
| Credential | MD |
| Practice Address |
3400 Spruce Street 1 Founders Philadelphia PA 19104-2640 |
| Practice Telephone | 2156622638 |
| Mailing Telephone | 2156622638 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD439711 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036118148 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD439711 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306347984 | Siddharth Shah | Perfusionist | 4000 Presidential Blvd Apt 1119, Philadelphia, PA 19131-1721 | 2018-02-28 |
| 1194770461 | Siddharth Rajnikant Shah | Family Medicine | 2038 Springdale Ln, Tarrant, AL 35217-2028 | 2006-05-24 |
| 1619331147 | Siddharth Kirit Shah | Psychiatry & Neurology | 6360 Mableton Pkwy Sw, Mableton, GA 30126-5210 | 2016-04-11 |
| 1518341940 | Siddharth Paresh Shah | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-07-15 |
| 1720213689 | Siddharth Ashokkumar Shah | Pediatrics | 411 E Chestnut St, Louisville, KY 40202-1713 | 2009-05-21 |
| 1821208067 | Siddharth Ashvin Shah | Preventive Medicine | 908 New Hampshire Ave Nw, Ste 200, Washington, DC 20037-2346 | 2007-05-23 |
| 1386703619 | Siddharth A. Shah | Emergency Medicine | 1 Mercy Ln, Suite 401, Hot Springs, AR 71913-6442 | 2006-12-06 |
| 1174510358 | Siddharth H Shah | Psychiatry & Neurology | 4762 Rowan Rd, New Port Richey, FL 34653-5601 | 2005-10-03 |
| Street Address |
3400 SPRUCE STREET 1 FOUNDERS |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620296 | Anne M Foley | Nurse Practitioner | 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206 | 2005-06-23 |
| 1063023349 | Judith Christina Rivera | Nurse Practitioner | 3400 Spruce Street, Cicu F11, Philadelphia, PA 19104-4238 | 2020-08-11 |
| 1457970451 | Tyler J York | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 4 Maloney - Surgery Education Office, Philadelphia, PA 19104 | 2020-04-10 |
| 1811532088 | Madeleine Liu Rutledge | Nurse Practitioner | 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104 | 2019-11-12 |
| 1497397160 | Brittany Nichol Moses | Physician Assistant | 3400 Spruce Street, Rhoads 5, Philadelphia, PA 19104 | 2019-10-14 |
| 1477106011 | Courtney Condit | Genetic Counselor, MS | 3400 Spruce Street, 5 Silverstein, Suite 5100, Philadelphia, PA 19104 | 2019-07-23 |
| 1275096745 | Dallas Argueso | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-04-10 |
| 1720548837 | Alisha Jamil | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-24 |
| 1023578507 | Erin Killingsworth Mcminn | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 | 2019-03-21 |
| 1932669694 | Rosa Speranza | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 1 W. Gates, Philadelphia, PA 19104 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| 1497068613 | Anupama Nair | Internal Medicine | 1324 Locust St, Apt 205 The Arts Condominium, Philadelphia, PA 19107 | 2010-07-16 |
| 1972739621 | Mortimer M Civan | Internal Medicine | A303 Richards Building, 3700 Hamilton Walk, Dept. of Physiology, Univ. of Pennsylvania, Philadelphia, PA 19104-6085 | 2009-06-09 |
| 1790795391 | Arthur Robert Olshan | Internal Medicine | 205 N Broad St Ste 600, Philadelphia, PA 19107-1555 | 2006-08-08 |
| 1407817745 | Theodora K. Bernardini | Internal Medicine | 4453 Castor Ave, Suite B, Philadelphia, PA 19124-3846 | 2006-03-28 |
| 1902874670 | Eric J Bloom | Internal Medicine | 5501 Old York Road, Moss 4th Floor, Sley Building, Einstein Nephrology Associates, Philadelphia, PA 19141 | 2006-03-09 |
| 1821071473 | Edward R. Jones | Internal Medicine | 10 E Moreland Ave, Suite 100, Philadelphia, PA 19118-3541 | 2005-11-28 |
| 1366425092 | Peter Fumo | Internal Medicine | 10 E Moreland Ave Ste 100, Philadelphia, PA 19118-3562 | 2005-11-28 |
| 1790773547 | Ellie Kelepouris | Internal Medicine | 216 N. Broad St., 5th Floor, Philadelphia, PA 19102 | 2005-10-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. SIDDHARTH P 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.