DR. RENA SHAH (NPI# 1750670667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750670667 |
| Entity Type | Individual |
| Full Name | DR. RENA SHAH |
| Credential | MD |
| Practice Address |
3435 W Broadway Ave Robbinsdale MN 55422-2969 |
| Mailing Address |
3300 Oakdale Ave N Minneapolis MN 55422-2926 |
| Practice Telephone | 7635812800 |
| Practice Fax Number | 7635812801 |
| Mailing Telephone | 7635202000 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 60367 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
63362 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1750670667 | 05 |
| Street Address |
3435 W BROADWAY AVE |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148244 | Joy M Larsen Haidle | Genetic Counselor, MS | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2922 | 2005-10-14 |
| 1245645472 | Kathryn Douglass | Genetic Counselor, MS | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2014-06-26 |
| 1568800894 | Christine Marie Wiese | Nurse Practitioner | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2013-06-09 |
| 1538411855 | Yazmin M. Clark | Nurse Practitioner | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2012-10-10 |
| 1043580178 | Shirley Jean Kern | Clinical Nurse Specialist | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2012-01-05 |
| 1437429651 | Jean Borgerding Pupkes | Clinical Nurse Specialist | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2012-01-04 |
| 1508157652 | Ashley Marie Deckman | Genetic Counselor, MS | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2969 | 2011-04-25 |
| 1699065946 | Robert John Schneidewend | Internal Medicine | 3435 W Broadway Ave, Robbinsdale, MN 55422 | 2011-04-07 |
| 1700185287 | Karen Marie Palmer | Dietitian, Registered | 3435 W Broadway Ave, North Memorial Outpatient Center, Robbinsdale, MN 55422-2969 | 2011-03-23 |
| 1093905259 | North Memorial Health Care | Pharmacy | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2922 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073605952 | John Manion | Internal Medicine | 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 | 2006-09-29 |
| 1699065946 | Robert John Schneidewend | Internal Medicine | 3435 W Broadway Ave, Robbinsdale, MN 55422 | 2011-04-07 |
| 1245322122 | Harold N Londer | Internal Medicine | 3435 West Broadway, Suite 1135, Robbinsdale, MN 55422 | 2006-09-29 |
| 1699705491 | Avanti Mehrotra | Internal Medicine | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2969 | 2006-07-04 |
| 1518996081 | Rebecca R Thomas | Internal Medicine | 3435 W Broadway Ave, 1135, Robbinsdale, MN 55422-2969 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
| 1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
| 1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
| 1366626343 | Hilary Ikenna Ufearo | Internal Medicine | 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 | 2007-12-26 |
| 1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
| 1194817072 | Robert D Winston | Internal Medicine | 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 | 2006-09-29 |
| 1023111531 | Ayse Malcolm | Internal Medicine | 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 | 2006-09-07 |
| 1821008996 | Joseph Michael Cardamone Jr. | Internal Medicine | 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 | 2006-08-09 |
| 1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
| 1093760290 | Girum L Lemma | Internal Medicine | 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on DR. RENA SHAH.
| 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.