BHANU J. SHAH MD PC (NPI# 1427385954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427385954 |
| Entity Type | Organization |
| Organization Name | BHANU J. SHAH MD PC |
| Practice Address |
29175 Ryan Rd Warren MI 48092-4243 |
| Mailing Address |
29175 Ryan Rd Warren MI 48092 |
| Practice Telephone | 5865742190 |
| Practice Fax Number | 5865742203 |
| Mailing Telephone | 5865742190 |
| Mailing Fax Number | 5865742203 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | DR. BHANU J SHAH (PRESIDENT) |
| Authorized Official Telephone | 5865742190 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 31435 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS AND BLUE SHIELD | 0502020 | 01 |
| MI | 1059764 | 05 |
| Street Address |
29175 RYAN RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205273315 | Dina Kassab | Obstetrics & Gynecology | 11885 E 12 Mile Rd Ste 202a, Warren, MI 48093-3469 | 2013-05-30 |
| 1790942993 | Sawsan Wadi Jamil | Obstetrics & Gynecology | 11012 E 13 Mile Rd Ste 212, Warren, MI 48093-2547 | 2008-05-16 |
| 1689855058 | Amine R Abdul-aal | Obstetrics & Gynecology | 200 Garfield Dr Ne, Suite 1, Warren, OH 44483-5557 | 2007-11-14 |
| 1790991909 | Jennifer Marie Nowasielski | Obstetrics & Gynecology | 30117 Schoenherr Rd Ste 400, Warren, MI 48088-6854 | 2007-05-15 |
| 1427264902 | Jacquelyn Nicole Rodriguez | Obstetrics & Gynecology | 11012 E 13 Mile Rd, Ste # 212, Warren, MI 48093-2572 | 2007-05-14 |
| 1477647501 | Adagio Health Inc. | Obstetrics & Gynecology | 306 Hazel St, Warren, PA 16365-4920 | 2006-10-03 |
| 1861587321 | Cortland Obgyn Associates Inc | Obstetrics & Gynecology | 200 Garfield Dr, Suite A, Warren, OH 44483 | 2006-10-03 |
| 1790793941 | Meiuttenun Chong Marie Brown | Obstetrics & Gynecology | 8200 Old 13 Mile Rd, Suite 106, Warren, MI 48093-2171 | 2006-08-04 |
| 1588671648 | Gerard Joseph Pregenzer | Obstetrics & Gynecology | 65 Mountain Blvd Ext Suite 201, Womens Health Care of Warren, Warren, NJ 07059 | 2006-08-02 |
| 1487693255 | Maya Mansukhlal Sanghavi | Obstetrics & Gynecology | 27 Mountain Blvd Ste 6, Warren, NJ 07059-5605 | 2006-06-06 |
| Find all providers in WARREN | ||||
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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.