KUNAL M SHAH (NPI# 1730504150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730504150 |
| Entity Type | Individual |
| Full Name | KUNAL M SHAH |
| Practice Address |
1836 South Ave La Crosse WI 54601-5429 |
| Mailing Address |
236 Livingston St Apt 14h Brooklyn NY 11201-6893 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 9197375686 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
68695 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417463936 | Kunal Shah | Physical Therapy Assistant | 8570 Katy Fwy Ste 116, Houston, TX 77024-1865 | 2017-12-19 |
| 1962881516 | Kunal Shah | Internal Medicine | 245 N 15th Street, 6th Floor, Drexel University College of Medicine, Philadelphia, PA 19102 | 2015-05-28 |
| 1689805566 | Kunal Shah | Pharmacist | 328 St. John St, Lyon's Pharmacy, Havre De Grace, MD 21078 | 2009-07-27 |
| 1124599071 | Kunal J Shah | Pharmacist | 435 South St, Morristown, NJ 07960-6422 | 2018-12-17 |
| 1205385648 | Kunal Shah | Physical Therapist | 1212 S Naper Blvd, Suite 104, Naperville, IL 60540-8360 | 2016-09-27 |
| 1205299435 | Kunal Shah | Hospitalist | 301 E Main St, Bay Shore, NY 11706-8408 | 2016-04-04 |
| 1619233558 | Kunal Shah | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 600, Houston, TX 77030-3000 | 2012-04-04 |
| 1033432729 | Kunal Shirish Shah | Pharmacist | 1018 Ogden Ave, Bronx, NY 10452-5103 | 2010-03-09 |
| 1356678395 | Kunal K. Shah | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-11-12 |
| 1285878868 | Kunal Vijay Shah | Neurological Surgery | 105 W 8th Ave, Ste 200, Spokane, WA 99204-2302 | 2009-04-27 |
| Street Address |
1836 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304834 | Susan G Maclellan-tobert | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-05-24 |
| 1861099590 | Ellen Compton | Dietitian, Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-10-06 |
| 1699382630 | Jedd Sebion | Pharmacist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-09-24 |
| 1104436351 | Taryn Jean Simon | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-08-03 |
| 1497376438 | Eva Igler | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-30 |
| 1568083608 | Benjamin Haase Thompson | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-29 |
| 1316568736 | Eric Bobel | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-27 |
| 1134749708 | Kristin Danielle Heslep | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-23 |
| 1982224598 | Rebecca Stanek | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-23 |
| 1609496595 | Marie Gilberte Cineus | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689919144 | Abdallah Sanaani | Internal Medicine | 1836 South Ave, La Crosse, WI 54601 | 2012-12-10 |
| 1811276587 | Abhishek Sharma | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2011-08-11 |
| 1083943179 | Wah Wah Htun | Internal Medicine | 1836 South Ave, La Crosse, WI 54601 | 2009-12-18 |
| 1730333980 | Mateen Fatima Abidi | Internal Medicine | 1836 South Ave, La Crosse, WI 54601 | 2008-11-13 |
| 1699938365 | Freddy Del-carpio Munoz | Internal Medicine | 800 West Avenue S., La Crosse, WI 54601-8806 | 2008-07-03 |
| 1407041783 | Brendan J Doyle | Internal Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2007-09-11 |
| 1306030481 | Warangkana Chokesuwattanaskul | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2007-08-31 |
| 1699821520 | Jose Emilio Exaire | Internal Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2007-01-25 |
| 1477636405 | Ralph G. Althouse | Internal Medicine | 1836 South Ave, La Crosse, WI 54601 | 2006-10-23 |
| 1629165899 | Sharada Kamalanatha Chaitra | Internal Medicine | 1910 South Ave, La Crosse, WI 54601-5467 | 2006-10-06 |
| Find all providers in LA CROSSE | ||||
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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.