RUSHABH ANILKUMAR SHAH M.D. NPI 1033439989

NPI Information

  • NPI: 1033439989
  • Provider Name: RUSHABH ANILKUMAR SHAH, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 1919 LAKE AVE
    SUITE 110
    PLYMOUTH, IN
    ZIP 46563
  • Phone: (574) 948-5290

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NPI Details

Rushabh Anilkumar Shah, M.D. is a pediatrics in Plymouth, IN. The provider is 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. Rushabh Anilkumar Shah, M.D. NPI is 1033439989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1919 LAKE AVE
SUITE 110
PLYMOUTH, IN
ZIP 46563-830
Phone: (574) 948-5290
Fax: (574) 948-5495

The enumeration date for this NPI number is 6/2/2010 and was last updated on 11/16/2023.

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
1208000000XPediatrics4301096224MICHIGANNo
2208000000XPediatrics01072555AINDIANAYes

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
1201166310MEDICAIDINDIANA

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: 11/21/2025

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