BASIL SHAH MD NPI 1679684872

NPI Information

NPI: 1679684872
Provider Name: BASIL SHAH, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: CAROLINA RADIOLOGY ASSOCIATES LLC

PECOS Registration: Yes

Address:
1340 BROAD AVE
SUITE 450
GULFPORT, MS
ZIP 39501
Phone: (228) 867-5006
Get Directions

Basil Shah, MD is a vascular and interventional radiology radiology in Gulfport, MS with 44 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Basil Shah, MD NPI is 1679684872. 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:

1340 BROAD AVE
SUITE 450
GULFPORT, MS
ZIP 39501-404
Phone: (228) 867-5006
Fax: (228) 867-5079

The NPI 1679684872 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 8/31/2006 and was last updated on 7/31/2014.

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	174400000X	Specialist		4301077845	MICHIGAN	No
2	207T00000X	Neurological Surgery		22774	MISSISSIPPI	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	22774	MISSISSIPPI	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	00188398	OTHER		MS MEDICAID
2	107229	OTHER	LOUISIANA	AL MEDICAID

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »