MEDICARE: DR. VITALKUMAR N SHAH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	36084	KY

General Provider Information

NPI Number	:	1841241239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VITALKUMAR N SHAH M.D.

Provider Business Mailing Address
First Line	:	10510 LAGRANGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-1277
Country	:	US
Telephone Number	:	502-253-7134
Fax Number	:

Provider Business Practice Location Address
First Line	:	10510 LAGRANGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-1277
Country	:	US
Telephone Number	:	502-253-7134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1720366933 — TYRAN DEWALT
Practice Location Address:

10510 LA GRANGE RD
LOUISVILLE, KY
40223-1277

Practice Phone: 502-589-8600
Practice Fax: 502-589-8771

1366447609 — CENTRAL STATE HOSPITAL
Practice Location Address:

10510 LAGRANGE RD
LOUISVILLE, KY
40223-1277

Practice Phone: 502-253-7135
Practice Fax: 502-253-7044

1831161066 — DR. AMARJIT SINGH CHOPRA M.D.
Practice Location Address:

10510 LA GRANGE RD
LOUISVILLE, KY
40223-1277

Practice Phone: 502-253-7078
Practice Fax: 502-253-7608

1578513776 — ELEANOR H PUCKETT ARNP
Practice Location Address:

10510 LAGRANGE RD
LOUISVILLE, KY
40223-1277

Practice Phone: 502-253-7194
Practice Fax:

1528018629 — DR. SAMINA JUNEJA M.D.
Practice Location Address:

10510 LAGRANGE RD
LOUISVILLE, KY
40223-1277

Practice Phone: 502-253-7134
Practice Fax:

1942250139 — DR. YELENA G VANINA M.D.
Practice Location Address:

10510 LAGRANGE RD
LOUISVILLE, KY
40223-1277

Practice Phone: 502-253-7134
Practice Fax:

Directions to “ DR. VITALKUMAR N SHAH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.