SOHRAB SHAHAB (NPI# 1649477662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649477662 |
| Entity Type | Individual |
| Full Name | SOHRAB SHAHAB |
| Credential | M.D. |
| Practice Address |
2000 Foundation Way Ste 3200 Martinsburg WV 25401-9199 |
| Mailing Address |
2500 Foundation Way Martinsburg WV 25401-9000 |
| Practice Telephone | 3042629400 |
| Practice Fax Number | 3042629407 |
| Mailing Telephone | 3042649202 |
| Mailing Fax Number | 3042649042 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 22519 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810015090 | 05 | |
| WV | RAIL ROAD MEDICARE | P00966070 | 01 |
| Street Address |
2000 FOUNDATION WAY STE 3200 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-9199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275174377 | Cassandra Lynn Prasad | Nurse Practitioner | 2000 Foundation Way Ste 3200, Martinsburg, WV 25401-9199 | 2019-10-01 |
| 1689237794 | Samantha Leigh Madison | Nurse Practitioner | 2000 Foundation Way Ste 3200, Martinsburg, WV 25401-9199 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245329705 | Garrison V. Morin Dba Mountain State Ent Center | Otolaryngology | 321 Lutz Ave, Suite A, Martinsburg, WV 25404-6362 | 2006-10-12 |
| 1538131198 | C Ramadas Kamath | Otolaryngology | 510 Butler Ave, Surgical Service, Martinsburg, WV 25401-9990 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861781510 | Christopher Eric Bailey | Otolaryngology | 1 Medical Center Drive, Room 4520, Box 9200, Morgantown, WV 26506-9200 | 2011-04-04 |
| 1336349109 | Tanya Fancy | Otolaryngology | Room 4520, Hsc South, Morgantown, WV 26506-9200 | 2007-07-20 |
| 1235233784 | Raymond A Hinerman | Otolaryngology | 30 Medical Park Ste 223, Wheeling, WV 26003-6391 | 2006-09-12 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1740238765 | Prudencio C Corro | Otolaryngology | 673 Ritter Dr, Glen Morgan, WV 25813-7707 | 2006-05-04 |
| 1013984525 | Mark F Sheridan | Otolaryngology | #3 Stonecrest Dr, Huntington, WV 25701 | 2006-03-02 |
| 1619944477 | Phillip R Stevens | Otolaryngology | #3 Stonecrest Drive, Huntington, WV 25701 | 2006-03-01 |
| 1306817689 | Christopher L White | Otolaryngology | 231 Dawkins Dr, Lewisburg, WV 24901-9674 | 2006-01-27 |
| 1831171180 | John W. Wyllie IIi | Otolaryngology | 456 Suite C Market Place Mall, Weston, WV 26452 | 2005-11-14 |
| 1811980147 | Huntington Ear Nose & Throat Specialists LLC | Otolaryngology | 1616 13th Avenue, Suite 100, Huntington, WV 25701-1692 | 2005-08-23 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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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.