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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 35207 | MO | Allopathic & Osteopathic Physicians |
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 |
Street Address |
10004 KENNERLY RD SUITE 360 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2141 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 63128 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
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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.