DR. JITENDRA PRANLAL SHAH


Address: 10004 Kennerly Rd, Suite 360, Saint Louis, MO 63128-2141
Phone: 3148492735

DR. JITENDRA PRANLAL SHAH (NPI# 1639258858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639258858
Entity Type Individual
Full Name DR. JITENDRA PRANLAL SHAH
Credential M.D.
Practice Address 10004 Kennerly Rd
Suite 360
Saint Louis
MO 63128-2141
Practice Telephone 3148492735
Practice Fax Number 3148492736
Mailing Telephone 3148492735
Mailing Fax Number 3148492736
Enumeration Date 2006-11-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 35207 MO Allopathic & Osteopathic Physicians

Other Providers JITENDRA SHAH

NPI Name Taxonomy Address Enumeration
1487727996 Jitendra A Shah Family Medicine 504 Medford Ave, Patchogue, NY 11772-1321 2006-11-15
1922186162 Jitendra S. Shah Dentist 8613 Jamaica Ave, Woodhaven, NY 11421-2043 2006-11-02
1386797165 Jitendra Chimanlal Shah Internal Medicine 8502 Fort Hamilton Pkwy, Brooklyn, NY 11209-4865 2007-01-18
1619061827 Jitendra J Shah Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2006-10-03
1306805999 Jitendra N Shah Pediatrics 3103 Hulmeville Rd, Suite #104, Bensalem, PA 19020-4365 2006-03-21

Office Location

Street Address 10004 KENNERLY RD
SUITE 360
City SAINT LOUIS
State MO
Zip Code 63128-2141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053317313 Sylvia Ann Steiling Surgery 10004 Kennerly Rd, Ste 137a, Saint Louis, MO 63128-2140 2005-06-22
1376166066 Nhs South LLC Internal Medicine 10004 Kennerly Rd, Saint Louis, MO 63128-2141 2020-05-28
1932690567 Kristin Leigh Wall Registered Nurse 10004 Kennerly Rd, Saint Louis, MO 63128-2141 2018-05-18
1447795695 Laura Michler Nurse Practitioner 10004 Kennerly Rd, Ste 115a, Saint Louis, MO 63128-2141 2016-12-27
1346796562 Jennifer Lynn Seib Nurse Practitioner 10004 Kennerly Rd, Ste. 255a, Saint Louis, MO 63128-2141 2016-08-28
1528415536 Community & Long-term Care Psychiatry LLC Behavioral Analyst 10004 Kennerly Rd, Ste 362b, Saint Louis, MO 63128-2141 2016-05-19
1083081004 Frank H Gafford Md, PC Internal Medicine 10004 Kennerly Rd, Suite 283b, Saint Louis, MO 63128-2141 2015-08-25
1710375340 Sabina Smajis Nurse Practitioner 10004 Kennerly Rd, Saint Louis, MO 63128-2141 2015-01-05
1962810952 St. Anthony's Physician Organization Internal Medicine 10004 Kennerly Rd, Suite 200a, Saint Louis, MO 63128-2141 2014-07-23
1457766255 St. Anthony's Physician Organization Obstetrics & Gynecology 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 2014-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437412582 Andrew T Blackburne Urology 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 2012-06-22
1083902852 Gurdarshan S Sandhu Urology 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 2011-07-14
1265690978 Richard Louis Mackey Urology 2 Bennington Ln, Saint Louis, MO 63124-1235 2008-05-29
1396963658 Matthew C Kincade Urology 607 S New Ballas Rd Ste 3100, Saint Louis, MO 63141-8219 2007-04-23
1699812990 Ramarao Kaza Urology 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 2007-01-30
1972665461 Urology of St. Louis, Inc. Urology 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 2006-12-14
1972600559 Christopher Thomas Arett Urology 1040 N Mason Rd Ste 122, Ste 122, Saint Louis, MO 63141-6361 2006-09-17
1578667051 Metropolitan Urological Specialists PC Urology 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 2006-09-12
1548286768 Ramakrishna Venkatesh Urology 11133 Dunn Rd Ste 202n, Ste 202n, Saint Louis, MO 63136-6163 2006-07-14
1376569509 Sam B Bhayani Urology 4921 Parkview Pl Ste 11c, Ste 11c, Saint Louis, MO 63110-1032 2006-07-14
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Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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