DR. SHABANA KHAN SHAH MD NPI 1962693309

NPI Information

NPI: 1962693309
Provider Name: DR. SHABANA KHAN SHAH, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
393 E WALNUT STREET
3RD FLOOR
PASADENA, CA
ZIP 91188
Phone: (310) 809-9103
Get Directions

DR. Shabana Khan Shah, MD is an adult medicine family medicine in Pasadena, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Shabana Khan Shah, MD NPI is 1962693309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

393 E WALNUT STREET
3RD FLOOR
PASADENA, CA
ZIP 91188-507
Phone: (310) 809-9103

The NPI 1962693309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 6/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	A86063	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M050376	OTHER	CALIFORNIA	HARBOR UCLA MEDICAL CENTER
2	DA6447	OTHER	CALIFORNIA	RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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