DR. MAYANK KANAIYALAL SHAH (NPI# 1962430272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962430272 |
Entity Type | Individual |
Full Name | DR. MAYANK KANAIYALAL SHAH |
Credential | M.D. |
Practice Address |
7435 W Talcott Ave Suite 182 Chicago IL 60631-3707 |
Practice Telephone | 7737925154 |
Practice Fax Number | 7735947975 |
Mailing Telephone | 7737925154 |
Mailing Fax Number | 7735947975 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2011-09-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036106149 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036106149 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598872616 | Mayank P Shah | Internal Medicine | 200 Ronald Reagan Blvd, Warwick, NY 10990 | 2006-08-24 |
1104894864 | Mayank Kantilal Shah | Internal Medicine | 1051 Harding Memorial Pkwy, Suite A, Marion, OH 43302-6347 | 2006-03-09 |
1003355264 | Mayank Shah | Physical Therapist | 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084-2900 | 2017-02-20 |
1336559939 | Mayank Shah | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2014-05-05 |
1740461896 | Mayank Shah | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37614 | 2007-11-16 |
Street Address |
7435 W TALCOTT AVE SUITE 182 |
City | CHICAGO |
State | IL |
Zip Code | 60631-3707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324515 | Matthew Alexander Brown | Family Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2005-05-31 |
1417575630 | Christine Rheintgen | Counselor | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-07-14 |
1518584028 | Jose Belandres IIi | Nurse Anesthetist, Certified Registered | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-06-30 |
1417579426 | Brett M Hanson | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-05-12 |
1871114272 | William John Noel II | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-27 |
1932729738 | Leo Viray | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-21 |
1538789318 | Jacob Byron Cihla | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-21 |
1790304855 | Elizabeth Celeste England | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-09 |
1609405869 | Alexander Reinhardt Rosc | Registered Nurse | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-08 |
1881223154 | Fatma Betul Ciftci | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
Find all providers in zip 60631 |
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 |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
Find all providers in CHICAGO |
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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.