DR. PRERAK RAJESHKUMAR SHAH (NPI# 1902032014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902032014 |
| Entity Type | Individual |
| Full Name | DR. PRERAK RAJESHKUMAR SHAH |
| Credential | MD |
| Practice Address |
5818 Columbia Ave Hammond IN 46320-2607 |
| Mailing Address |
213 N Racine Ave Chicago IL 60607-1644 |
| Practice Telephone | 2192375160 |
| Practice Fax Number | 2193211935 |
| Mailing Telephone | 3127339730 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01076066A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-136289 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 051560 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848039 | Prerak Shah | Otolaryngology | 198 Massachusetts Ave, #103, N Andover, MA 01845-4143 | 2005-08-19 |
| Street Address |
5818 COLUMBIA AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669638425 | John Phillip Cosgrove | Family Medicine | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2008-07-31 |
| 1477168599 | Julie Stelzel | Nurse Practitioner | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2020-09-15 |
| 1477078798 | Melinda Jones-saah | Nurse Practitioner | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2017-08-08 |
| 1659753523 | Farheen Wahid | Podiatrist | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2015-06-26 |
| 1295137842 | Sheriva Hunter | Nurse Practitioner | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184155020 | Jace Varkey | Family Medicine | 5500 Hohman Ave Ste 2a, Hammond, IN 46320-1942 | 2017-03-22 |
| 1831501212 | Community Care Network, Inc | Family Medicine | 3432 169th St, Hammond, IN 46323-2542 | 2014-05-20 |
| 1285078709 | Smita Reshma Prasad | Family Medicine | 11344 Copper Hill Dr., Hammond, LA 70403-2697 | 2013-04-26 |
| 1669638425 | John Phillip Cosgrove | Family Medicine | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2008-07-31 |
| 1194913335 | Juan C Martinez | Family Medicine | 15813 Paul Vega Md Dr Ste 201, Hammond, LA 70403-1431 | 2007-10-12 |
| 1558440149 | St Margaret Mercy Healthcare Centers | Family Medicine | 3831 S Hohman Ave, Hammond, IN 46327-1160 | 2006-11-03 |
| 1649378175 | Shiv Kumar Sharma | Family Medicine | 5815 S Calumet Ave, Hammond, IN 46320-2352 | 2006-09-20 |
| 1477659449 | Evan H. Geissler, D.o., Ltd. | Family Medicine | 7134 Calumet Ave, Hammond, IN 46324-2406 | 2006-09-16 |
| 1962428953 | Family Medicine Physicians, L.L.C. | Family Medicine | 16052 Doctor's Boulevard, Hammond, LA 70403 | 2006-07-14 |
| 1437180346 | Rujuta R Gandhi | Family Medicine | 4022 Hohman Ave, Hammond, IN 46327-1239 | 2006-07-06 |
| Find all providers in HAMMOND | ||||
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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.