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SHIVENDRA SHAH MD
NPI 1225922107
Student in an Organized Health Care Education/Training Program in Binghamton, NY

Active since June 05, 2025
1042 MITCHELL AVE # 42, BINGHAMTON, NY 13903(607) 762-2990(607) 762-2639 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shivendra Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVENDRA SHAH MD (NPI 1225922107) is an individual student in an organized health care education/training program in Binghamton, New York and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1225922107
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHIVENDRA SHAHCredential: MD
Location Address1042 MITCHELL AVE # 42Binghamton, NY 13903-1678
Mailing Address33-57 Harrison StJohnson City, NY 13790-2174 · (607) 762-2990 · Fax (607) 762-2639
Phone(607) 762-2990
Fax(607) 762-2639
Sole ProprietorYes
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1225922107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1042 MITCHELL AVE # 42, Binghamton, NY 13903
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANEAN YOUNG EASTMAN NP
Nurse Practitioner
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2333
ISABELLA COSMELLO
Student in an Organized Health Care Education/Training Program
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2990
PURUSHOTHAMAN MUTHUKANAGARAJ M.D.
Psychiatry & Neurology (Psychiatry)
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2990
LILLIAM DOMINIQUE PION RN-BSN
Registered Nurse (General Practice)
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2200
LARAIB ZAFAR
Student in an Organized Health Care Education/Training Program
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2990
SEPIDEH MORTEZAEI FAR
Student in an Organized Health Care Education/Training Program
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2990
KRISTEN BINKEWICZ MS OTR/L
Occupational Therapist
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (607) 762-2616
EUGENE LEE
Specialist/Technologist (Athletic Trainer)
1042 MITCHELL AVE # 42
BINGHAMTON, NY 13903
Broome County (631) 624-7791

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivendra Shah's NPI number?

The NPI number for Shivendra Shah is 1225922107. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Shivendra Shah located?

Shivendra Shah practices at 1042 Mitchell Ave # 42, Binghamton, NY 13903. The listed phone number is (607) 762-2990.

What is Shivendra Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shivendra Shah was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.