DR. NEENA Y SHAH M.D. NPI 1831195692

NPI Information

NPI: 1831195692
Provider Name: DR. NEENA Y SHAH, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4598 S TRACY BLVD
C140
TRACY, CA
ZIP 95377
Phone: (209) 839-1432
Get Directions

DR. Neena Y Shah, M.D. is a pediatrics in Tracy, CA. 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. DR. Neena Y Shah, M.D. NPI is 1831195692. 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:

4598 S TRACY BLVD
C140
TRACY, CA
ZIP 95377-107
Phone: (209) 839-1432
Fax: (209) 839-8681

The NPI 1831195692 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 6/24/2005 and was last updated on 10/17/2012.

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	208000000X	Pediatrics		K6312	TEXAS	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	123727101	OTHER	TEXAS	FIRST CARE PROV NUMBER
2	181846303	OTHER	TEXAS	UNITED HEALTHCARE PROV NO
3	6912142001	OTHER	TEXAS	CIGNA PROVIDER NUMBER
4	E73466	MEDICARE UPIN	TEXAS
5	5252625	OTHER	TEXAS	AETNA PROVIDER NUMBER
6	89751J	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE PROVIDER NUMBER
7	89110G	OTHER	TEXAS	BCBS PROVIDER NUMBER
8	125863403	MEDICAID	TEXAS

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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