DR. RITA SHAH (NPI# 1639156441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639156441 |
| Entity Type | Individual |
| Full Name | DR. RITA SHAH |
| Credential | MD |
| Practice Address |
2905 W 12 Mile Rd Berkley MI 48072-1413 |
| Practice Telephone | 2485410770 |
| Practice Fax Number | 2485416862 |
| Mailing Telephone | 2485410770 |
| Mailing Fax Number | 2485416862 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301065111 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 103314801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265559 | Rita N Shah | Registered Nurse | 30957 Franklin Woods Ct, Franklin, MI 48025-1512 | 2020-08-12 |
| 1487094744 | Rita Shankar Shah | Anesthesiology | 294 Applegarth Rd Ste G, Monroe, NJ 08831-3809 | 2013-07-02 |
| 1720300148 | Rita J Shah | Pharmacist | 99-1 Route 25a, Shoreham, NY 11786 | 2010-02-26 |
| 1154583227 | Rita Shah | Internal Medicine | 3011 21st St Apt 5d, Astoria, NY 11102-2873 | 2008-06-30 |
| 1891867388 | Rita R Shah | Dentist | 2 N State St, Chicago, IL 60602-3203 | 2006-11-14 |
| 1336495654 | Rita Shah | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2012-07-24 |
| 1265688105 | Rita Ghutai Shah | Pediatrics | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2008-08-12 |
| 1043308182 | Rita Shah | Optometrist | 10330 Highway 6, Suite E, Missouri City, TX 77459-4741 | 2006-10-11 |
| 1396751657 | Rita R Shah | Internal Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2006-07-31 |
| Street Address |
2905 W 12 MILE RD |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184607129 | Dinesh M Shah | Internal Medicine | 2905 W 12 Mile Rd, Berkley, MI 48072 | 2005-11-23 |
| 1831490622 | Zhengbo Duanmu | Physician Assistant | 2905 W 12 Mile Rd, Berkley, MI 48072-1413 | 2010-11-09 |
| 1457509341 | Karl David Sinclair | Physician Assistant | 2905 W 12 Mile Rd, Berkley, MI 48072-1413 | 2008-09-04 |
| 1952385072 | Alka Y Shah | Psychiatry & Neurology | 2905 W 12 Mile Rd, Berkley, MI 48072-1413 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1295017051 | Hassen A Saleh | Internal Medicine | 3270 Greenfield Rd, Berkley, MI 48072-1161 | 2011-09-16 |
| 1033133319 | Philip Sciturro | Internal Medicine | 1695 W. 12 Mile Road, Suite 200, Berkley, MI 48072-2100 | 2006-07-27 |
| 1508880428 | Stig E Aronsson | Internal Medicine | 1695 W 12 Mile Road, Suite 200, Berkley, MI 48072-2100 | 2006-07-26 |
| 1003893934 | Armen A Korkigian | Internal Medicine | 2635 Coolidge Hwy, Berkley, MI 48072-1554 | 2005-12-30 |
| 1184607129 | Dinesh M Shah | Internal Medicine | 2905 W 12 Mile Rd, Berkley, MI 48072 | 2005-11-23 |
| 1790768133 | Jeffrey L Wilson | Internal Medicine | 28905 Woodward Ave, Berkley, MI 48072-0923 | 2005-11-21 |
| 1184146326 | Justin K Skrzynski, Md, Pllc | Internal Medicine | 28747 Woodward Ave, Berkley, MI 48072-0929 | 2017-07-10 |
| 1447794102 | Associated Physicians Group Plc | Internal Medicine | 1695 W 12 Mile Rd, Suite 200, Berkley, MI 48072-2182 | 2016-12-14 |
| 1437530516 | Sara Gerhardt I | Internal Medicine | 1949 12 Mile Rd, Berkley, MI 48072-1868 | 2015-06-15 |
| Find all providers in BERKLEY | ||||
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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.