Samir Ashok Shah
Gastroenterologist
44 W River St
Providence
, Rhode Island 02904-2609
Samir Ashok Shah
Gastroenterologist
44 W River St
Providence
, Rhode Island 02904-2609
(401) 454-0410
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Samir Ashok Shah
- 44 W River St
- Providence, RI
- Zip : 02904-2609
- Fax : (401) 454-0410
- Phone : (401) 274-4800
Second Address
- Samir Ashok Shah
- 44 W River St
- Providence, RI
- Zip : 02904-2609
- Fax : (401) 454-0410
- Phone : (401) 274-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | 81704 | MA |
| Y | 207RG0100X | Gastroenterologist | 9420 | RI |
National Provider Identifier
| NPI | 1043209398 |
|---|---|
| Provider Name | Samir Ashok Shah |
| First Address | Providence, RI 02904-2609 |
| Second Address | Providence, RI 02904-2609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2005 |
| Last Update Date | 23/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1729 | NEIGHBORHOOD HEALTH PLAN (01) | RI |
| 400975 | BLUE CHIP (01) | RI |
| 404338 | TUFTS (01) | RI |
| 66429 | HARVARD PILGRIM (01) | RI |
| 7005825 | (05) | RI |
| G46588 | (02) | RI |
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.