Amit J Shah
Internist Allergist & Immunologist
1500 Calvary Church Rd
Festus
, Missouri 63028-4125
Amit J Shah
Internist Allergist & Immunologist
1500 Calvary Church Rd
Festus
, Missouri 63028-4125
(636) 933-2900
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About
Features
Specialties
- Allergist & Immunologist
- Internist
Languages spoken
- English
Location
First Address
- Amit J Shah
- 1500 Calvary Church Rd
- Festus, MO
- Zip : 63028-4125
- Phone : (636) 933-2900
Second Address
- Amit J Shah
- 1500 Calvary Church Rd
- Festus, MO
- Zip : 63028-4125
- Phone : (636) 933-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 2013038956 | MO |
| N | 207R00000X | Internist | 2013038956 | MO |
| N | 111NI0900X | Internist | 2013038956 | MO |
National Provider Identifier
| NPI | 1134246770 |
|---|---|
| Provider Name | Amit J Shah |
| First Address | Festus, MO 63028-4125 |
| Second Address | Festus, MO 63028-4125 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2007 |
| Last Update Date | 02/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1134246770 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.