KAUSHAL J SHAH


Address: 145 Hospital Ave Ste 300, Du Bois, PA 15801-1465
Phone: 8143752040

KAUSHAL J SHAH (NPI# 1720178536) 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) 1720178536
Entity Type Individual
Full Name KAUSHAL J SHAH
Credential MD
Practice Address 145 Hospital Ave Ste 300
Du Bois
PA 15801-1465
Mailing Address 100 Hospital Ave
Du Bois
PA 15801-1440
Practice Telephone 8143752040
Mailing Telephone 8143752040
Mailing Fax Number 8143757717
Enumeration Date 2006-10-13
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
0101262871 VA Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
35.090188 OH Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
MD427835 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1720178536 05
OH 2650180 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6707 Powers Blvd, Suite 302, Parma, OH 441295455 4407432380 4407432381
2006 Health Campus Dr, Rockingham, VA 228018679 5406895800 7574317136

Other Providers KAUSHAL SHAH

NPI Name Taxonomy Address Enumeration
1275858516 Kaushal Yogeshbhai Shah Psychiatry & Neurology Corner of Lamont & Veterans Way, Mountain Home Va Medical Center, Mountain Home, TN 37684 2010-03-30
1659356715 Kaushal Shah Internal Medicine 475 State Route 17m, Monroe, NY 10950-4169 2005-12-13
1033750070 Kaushal Shah Dentist 101 Hospital Dr, Osceola, MO 64776-9547 2019-10-01
1336705649 Kaushal Shah Pharmacist 5184 Stockdale Hwy, Bakersfield, CA 93309-2671 2019-05-13
1497156806 Kaushal Shah Pharmacist 1983 Marcus Ave, Suite 200, New Hyde Park, NY 11042-2000 2014-09-05
1548546161 Kaushal Jitesh Shah Student in an Organized Health Care Education/Training Program 10 N Greene St, Va Medical Center, Baltimore, MD 21201-1524 2011-10-27
1265758981 Kaushal B Shah Internal Medicine 540 Litchfield St, Torrington, CT 06790-6679 2010-04-20
1881768422 Kaushal M Shah Emergency Medicine 1000 10th Ave, New York, NY 10019-1147 2006-11-17

Office Location

Street Address 145 HOSPITAL AVE STE 300
City DU BOIS
State PA
Zip Code 15801-1465

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215551452 Grace Polohonki Counselor 490 Jefers Street, Dubois, PA 15801 2020-06-03
1144869231 Richard Lee Kerstetter II Hearing Instrument Specialist 124 San Juan Rd, Du Bois, PA 15801 2020-01-06
1700368487 Holly Noel Knoll Counselor 490 Jeffers Street, Dubois, PA 15801 2018-08-30
1992298160 Dubois Regional Medical Center Family Medicine 145 Hospital Ave Ste 315, Du Bois, PA 15801 2018-06-12
1154814846 Sara Beth Stone Dietitian, Registered 16288 Treasure Lk, Du Bois, PA 15801 2018-06-07
1942790779 Wendi Dawn Wenzel Counselor 490 Jeffers St., Dubois, PA 15801 2018-05-17
1144748443 Nancy Foradora Massage Therapist 200 Narrows Creek Park Road, Dubois, PA 15801 2017-09-07
1679098891 Deborah Jean Mitchell Hearing Instrument Specialist 900 Beaver Drive, Dubois, PA 15801 2017-08-09
1861937757 Shaun M Kanouff Counselor 100 Caldwell Dr., Dubois, PA 15801 2016-12-30
1164897740 Drayer Physical Therapy Institute LLC Physical Therapist 873 Beaver Drive, Dubois, PA 15801 2015-12-08
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720630650 Broad Street Professional Medical Services LLC Surgery 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 2019-07-11
1124670922 Broad Street Medical LLC Surgery 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 2019-07-11
1932610755 Vascular Surgical Specialists Pllc Surgery 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 2017-10-19
1336515956 Aria Health Physician Services Surgery 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 2015-08-18
1437525490 Advanced Vein and Laser Center Lancaster, LLC Surgery 896a Plaza Blvd, Lancaster, PA 17601-2745 2015-08-13
1447658877 Center for Vein Restoration Pa Pllc Surgery 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 2014-12-17
1023423167 Catherine Go Surgery 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 2014-06-27
1659703635 Walter J. Fagan Surgery 211 Center Ave, Jim Thorpe, PA 18229-1205 2013-08-01
1346521267 Usa Vein Clinics of Philadelphia LLC Surgery 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 2011-09-06
1124314893 Nathan Loren Liang Surgery 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 2011-06-21
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Competitor

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City DU BOIS
Zip Code 15801

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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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