MAHENDRA D.SHAH,M.D.& ASSOCIATES,P.C. (NPI# 1407908445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407908445 |
| Entity Type | Organization |
| Organization Name | MAHENDRA D.SHAH,M.D.& ASSOCIATES,P.C. |
| Practice Address |
4207 Whitford Ct # 1703 Glen Allen VA 23060-4138 |
| Practice Telephone | 1804761016 |
| Practice Fax Number | 1804761016 |
| Mailing Telephone | 1804761016 |
| Mailing Fax Number | 1804761016 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MAHENDRA DEVSHIBHAI SHAH (DIRECTOR) |
| Authorized Official Telephone | 1804761016 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
0101045906 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4207 WHITFORD CT # 1703 |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548529126 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2012-05-16 |
| 1083885214 | Benjamin Isaac Enav | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2008-03-15 |
| 1154430916 | Juan C Olazagasti | Pediatrics | 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 | 2006-08-29 |
| 1881625408 | Juan F Villalona | Pediatrics | 7229 Forest Ave Ste 106, The Highland II Medical Office Building, Richmond, VA 23226-3765 | 2006-07-05 |
| 1205884368 | Gastroenterology Associates of Northern Virginia, LLC | Pediatrics | 3700 Joseph Siewick Dr., Suite 308, Fairfax, VA 22033-1739 | 2006-05-04 |
| 1740253020 | Peter Lee Jr. | Pediatrics | 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 | 2006-02-08 |
| 1174517478 | Scott Michael Sirlin | Pediatrics | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2005-09-01 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013259688 | Gayathri Krishnaveni Naraparaju | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2013-03-21 |
| 1164779682 | Benjamin I. Enav, Md, LLC | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2012-08-14 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.