MS. PANNA R SHAH (NPI# 1780659763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780659763 |
Entity Type | Individual |
Full Name | MS. PANNA R SHAH |
Credential | MD |
Practice Address |
1887 Monterey Hwy Ste 205 San Jose CA 95112 |
Mailing Address |
1887 Monterey Hwy Ste 205 San Jose CA 95112-6192 |
Practice Telephone | 4089719822 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2018-09-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
C53290 | CA | Allopathic & Osteopathic Physicians |
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C53290 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BCBS | 0766600 | 01 |
AZ | 896847 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1368 Hymettus Ave, Encinitas, CA 920241746 | 8582222402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003989492 | Panna Shah | Family Medicine | 504 Medford Ave, Patchogue, NY 11772-1321 | 2006-11-16 |
Street Address |
1887 MONTEREY HWY STE 205 |
City | SAN JOSE |
State | CA |
Zip Code | 95112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790255800 | Kimberly Hsu Yan | Marriage & Family Therapist | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-11-30 |
1770063901 | Bridget Haerr | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-08-16 |
1144707530 | Serenity Cruz Gonzalez | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-07-27 |
1093292989 | T.c. N/a Everett Jr. | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-07-24 |
1720579360 | Daphne Rael | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2018-05-18 |
1083103824 | Suemy Mariela Hernandez May | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112-6192 | 2018-05-08 |
1982107850 | Kanika Soun | Specialist | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2018-03-16 |
1760997738 | Exsar Del Real | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2017-12-12 |
1447764659 | Dixa Urbina | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2017-11-27 |
1619487543 | Eddie Lee Brown Jr. | Counselor | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2017-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
Find all providers in zip 95112 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295343366 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 177 Park Ave, San Jose, CA 95113-2259 | 2020-07-15 |
1255954145 | Strive Psychiatric Services Inc. | Psychiatry & Neurology | 2570 N 1st St Fl 2, San Jose, CA 95131-1035 | 2020-05-26 |
1891293007 | Norman Reynolds | Psychiatry & Neurology | 1730 Hamilton Ave, San Jose, CA 95125-5424 | 2018-01-23 |
1861900367 | Golden Gate Psychiatry Associates | Psychiatry & Neurology | 2570 N 1st St Ste 216, San Jose, CA 95131-1035 | 2018-01-18 |
1114314846 | Jennifer Atienza Duyanen | Psychiatry & Neurology | 2150 N 1st St Ste 650, San Jose, CA 95131-2031 | 2015-04-21 |
1245596329 | Honor Hsin | Psychiatry & Neurology | 5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640 | 2012-04-03 |
1124397708 | Beeta Verma | Psychiatry & Neurology | 6120 Hellyer Ave, San Jose, CA 95138-1065 | 2011-12-28 |
1093006983 | Yang Xu | Psychiatry & Neurology | 1530 The Alameda, Suite 315, San Jose, CA 95126-2303 | 2011-04-26 |
1326277567 | Samer Salmo | Psychiatry & Neurology | 1530 The Alameda Ste 315, San Jose, CA 95126-2303 | 2009-07-09 |
1881821791 | Suzanna Lynn Freerksen | Psychiatry & Neurology | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2009-06-18 |
Find all providers in SAN JOSE |
Please comment or provide details below to improve the information on MS. PANNA R 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.