REHAN SHAH MD NPI 1255521332

NPI Information

NPI: 1255521332
Provider Name: REHAN SHAH, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
6817 SOUTHPOINT PKWY STE 203
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 330-1024
Get Directions

Rehan Shah, MD is a nephrology internal medicine in Jacksonville, FL with 18 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Rehan Shah, MD NPI is 1255521332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6817 SOUTHPOINT PKWY STE 203
JACKSONVILLE, FL
ZIP 32216-286
Phone: (904) 330-1024

The NPI 1255521332 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 7/26/2007 and was last updated on 4/22/2024.

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	207R00000X	Internal Medicine		071567	GEORGIA	No
2	207RN0300X	Internal Medicine	Nephrology	MD61072096	WASHINGTON	No
3	207RN0300X	Internal Medicine	Nephrology	071567	GEORGIA	No
4	207RN0300X	Internal Medicine	Nephrology	S2503	TEXAS	No
5	390200000X	Student in an Organized Health Care Education/Training Program				No
6	207RN0300X	Internal Medicine	Nephrology	ME127447	FLORIDA	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	2173910	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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