Physician Compare National (NPI:1396731931)

HEALTHCARE PROVIDER: PARESH SHAH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396731931
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668664202
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101014000249
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHAH
	Individual professional last name
Provider First Name	PARESH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1008 HARRISON ST
	Group Practice or individual's line 1 address
City	FRANKTON
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	460449783
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7657547557
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150088
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST. VINCENT ANDERSON REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y