Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2014018987 | MO |
N | 111NI0900X | Internist | 2014018987 | MO |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 04-44489 | KS |
N | 207RC0000X | Internist - Cardiovascular Disease | 04-44489 | KS |
NPI | 1760897417 |
---|---|
Provider Name | Dr. Hirak Shah |
First Address | Kansas City, KS 66160-8501 |
Second Address | Kansas City, KS 66160-8501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 19/07/2021 |