DR. AVANTHI TAYI SHAH (NPI# 1821230319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821230319 |
| Entity Type | Individual |
| Full Name | DR. AVANTHI TAYI SHAH |
| Other Name | AVANTHI TAYI |
| Credential | MD |
| Practice Address |
1000 Welch Rd Ste 300 Mc 5798 Palo Alto CA 94304-1811 |
| Practice Telephone | 6504978000 |
| Mailing Telephone | 6504978000 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A124972 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | P3978 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A124972 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1000 WELCH RD STE 300 MC 5798 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919731 | Joan Fisher | Pediatrics | 1000 Welch Rd, Suite 300, Palo Alto, CA 94304-1811 | 2006-02-02 |
| 1831506443 | Hui He | Physician Assistant | 1000 Welch Rd, #100, Palo Alto, CA 94304-1811 | 2014-07-15 |
| 1356617153 | Jennifer G Seither | Nurse Practitioner | 1000 Welch Rd, 100, Palo Alto, CA 94304-1811 | 2012-03-26 |
| 1447574306 | Joseph Park | Pediatrics | 1000 Welch Rd, Suite 300, Palo Alto, CA 94304-1811 | 2010-03-22 |
| 1831428275 | Erin Nokes | Audiologist | 1000 Welch Rd, Palo Alto, CA 94304-1811 | 2009-12-14 |
| 1477786440 | Stephen Dryanski | Audiologist | 1000 Welch Rd, Suite 100, Palo Alto, CA 94304-1811 | 2009-08-25 |
| 1134382906 | Christopher H Hsu | Pediatrics | 1000 Welch Rd, Suite 300, Palo Alto, CA 94304-1811 | 2008-07-02 |
| 1740441823 | Jison Hong | Internal Medicine | 1000 Welch Rd, Suite 203, Palo Alto, CA 94304-1811 | 2008-06-20 |
| 1427217223 | Janice Lin | Internal Medicine | 1000 Welch Rd, Suite 203, Palo Alto, CA 94304-1811 | 2008-06-06 |
| 1598923195 | Anupama Narla | Pediatrics | 1000 Welch Rd, Suite 300, Palo Alto, CA 94304-1811 | 2008-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386136257 | Alice Bertaina Bertaina | Pediatrics | 1000 Welch Rd Ste 301, Palo Alto, CA 94304-1811 | 2018-06-05 |
| 1881049914 | Gary Sharron | Pediatrics | 2015 Byron St., Palo Alto, CA 94301-4004 | 2016-04-26 |
| 1265792295 | Neela Lakshmi Penumarthy | Pediatrics | 880 Aspen Way, Palo Alto, CA 94303-4421 | 2012-05-23 |
| 1932475035 | Geri Ottaviano Landman | Pediatrics | 723 Welch Rd, Palo Alto, CA 94304-1601 | 2012-03-23 |
| 1225309859 | Lynne Frances Bernatowicz | Pediatrics | 4015 Arbol Dr, Palo Alto, CA 94306-3170 | 2012-01-12 |
| 1114202694 | Edward L Schor | Pediatrics | 400 Hamilton Ave, Suite 340, Palo Alto, CA 94301-1833 | 2011-10-17 |
| 1770803538 | Lynne Coe Huffman | Pediatrics | 750 Welch Road, #212, Palo Alto, CA 94304 | 2010-06-03 |
| 1285862771 | Judith Joan Palmer | Pediatrics | 441 Carolina Ln, Palo Alto, CA 94306-4124 | 2009-06-23 |
| 1043423965 | Mehran Mosley | Pediatrics | 770 Welch Rd Ste 100, Palo Alto, CA 94304-1505 | 2007-05-07 |
| 1861615965 | Stefanie M Wauk | Pediatrics | 555 Bryant St # 177, Palo Alto, CA 94301-1704 | 2007-04-10 |
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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.