BHUPENDRA K SHAH (NPI# 1760480800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760480800 |
| Entity Type | Individual |
| Full Name | BHUPENDRA K SHAH |
| Credential | M.D. |
| Practice Address |
2452 Lake Ave Fort Wayne IN 46805-5406 |
| Mailing Address |
Po Box 12409 Fort Wayne IN 46863-2409 |
| Practice Telephone | 2604229494 |
| Practice Fax Number | 2604229142 |
| Mailing Telephone | 2604229494 |
| Mailing Fax Number | 2604229142 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2009-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01030038A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100079820A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645015 | Bhupendra Shah | Physical Therapist | 1001 Pineview Cir Sw, Live Oak, FL 32064-3922 | 2017-05-11 |
| 1528182151 | Bhupendra S Shah | Pharmacist | 8374 Shadow Wood Blvd, Coral Springs, FL 33071-6738 | 2007-03-19 |
| 1104911957 | Bhupendra N Shah | Internal Medicine | 739 Avenue Y, Brooklyn, NY 11235-6126 | 2006-10-04 |
| Street Address |
2452 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1376540823 | Madhav H. Bhat | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| 1508863051 | Thomas M. Banas | Psychiatry & Neurology | 7956 West Jefferson Blvd, Fort Wayne, IN 46804-4159 | 2005-06-30 |
| 1093102022 | Leah Dickstein | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2015-04-16 |
| 1316366735 | Christopher Vachon | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2014-04-14 |
| 1467728378 | Usman Kareem Qadeer | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-03-25 |
| 1992091656 | Natalie Cornay Manalo | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-06-21 |
| 1083828719 | Marlene Clare Bultemeyer | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-10 |
| 1306050257 | John S. Pidgeon | Psychiatry & Neurology | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2007-05-10 |
| 1144311994 | Hisanori Hasegawa | Psychiatry & Neurology | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2006-09-27 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on BHUPENDRA K 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.