PRAKASH SHAH MD NPI 1679753073

NPI Information

  • NPI: 1679753073
  • Provider Name: PRAKASH SHAH MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 18D0892521
  • Address: 1724 KENTON ST
    SUITE 1-D
    HOPKINSVILLE, KY
    ZIP 42240
  • Phone: (270) 887-9066

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NPI Details

PRAKASH SHAH MD is an internal medicine in Hopkinsville, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRAKASH SHAH MD NPI is 1679753073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1724 KENTON ST
SUITE 1-D
HOPKINSVILLE, KY
ZIP 42240-981
Phone: (270) 887-9066
Fax: (270) 887-9199

The provider's authorized official is Prakash N Shah .
The authorized official title is Physician and has the following contact phone number (270) 887-9066.

The CLIA number assigned to this NPI record is 18D0892521 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 5/21/2015.

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
1207R00000XInternal Medicine31011KENTUCKYYes

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
17493MEDICARE PINKENTUCKY
2000000050781OTHERKENTUCKYANTHEM
364310113MEDICAIDKENTUCKY
4F87352MEDICARE UPINKENTUCKY
50749301MEDICARE PIN
6110090936OTHERKENTUCKYMEDICARE 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: 11/21/2025

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