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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1720178536 | 05 | |
OH | 2650180 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
6707 Powers Blvd, Suite 302, Parma, OH 441295455 | 4407432380 | 4407432381 |
2006 Health Campus Dr, Rockingham, VA 228018679 | 5406895800 | 7574317136 |
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 |
Street Address |
145 HOSPITAL AVE STE 300 |
City | DU BOIS |
State | PA |
Zip Code | 15801-1465 |
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 |
Find all providers in zip 15801 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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 |
Find all providers with the same taxonomy |
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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.