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SHAWN DINESH SHAH MD NPI 1568995462


NPI Information

NPI: 1568995462
Provider Name: SHAWN DINESH SHAH, MD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

PECOS Registration: Yes

Address:
1200 N STATE ST
LOS ANGELES, CA
ZIP 90089
Phone: (323) 226-7556
Get Directions

Shawn Dinesh Shah, MD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Los Angeles, CA with 7 years of experience. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Shawn Dinesh Shah, MD NPI is 1568995462. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1200 N STATE ST
LOS ANGELES, CA
ZIP 90089-001
Phone: (323) 226-7556
Fax: (323) 226-2657

The NPI 1568995462 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 4/6/2017 and was last updated on 10/27/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist159163CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SS3232267556MEDICAIDCALIFORNIA
2SS3232267556OTHERCALIFORNIASS3232267556

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.