Healthcare Provider Details

I. General information

NPI: 1750326922
Provider Name (Legal Business Name): AAKASH A. SHAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/26/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10730 NALL AVE STE 200 ADVANCED SPINE AND ORTHOPAEDIC SPECIALISTS
OVERLAND PARK KS
66211-1285
US

IV. Provider business mailing address

10730 NALL AVE STE 200 ADVANCED SPINE AND ORTHOPAEDIC SPECIALISTS
OVERLAND PARK KS
66211-1285
US

V. Phone/Fax

Practice location:
  • Phone: 913-649-7300
  • Fax: 913-385-5559
Mailing address:
  • Phone: 913-649-7300
  • Fax: 913-385-5559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2005019621
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME104072
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: