DR. YOGENDRA AMBALAL SHAH M.D.,S.C.
NPI 1376667253
Specialist in Granite City, IL

Q: What is Yogendra Shah's NPI number?

The NPI number for Yogendra Shah is 1376667253. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Q: What is Yogendra Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Yogendra Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since March 18, 2007

3165 MYRTLE AVE, GRANITE CITY, IL 62040(618) 451-7717(618) 451-7780 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Yogendra Ambalal Shah M.d.,s.c. NPPES

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

DR. YOGENDRA AMBALAL SHAH M.D.,S.C. (NPI 1376667253) is an individual specialist in Granite City, Illinois, licensed in Illinois (036048989) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1376667253

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. YOGENDRA AMBALAL SHAHCredential: M.D.,S.C.

Location Address3165 MYRTLE AVEGranite City, IL 62040-5012

Mailing Address3165 Myrtle AveGranite City, IL 62040-5012 · (618) 451-7717 · Fax (618) 451-7780

Phone(618) 451-7717

Fax(618) 451-7780

Sole ProprietorYes

Enumeration DateMarch 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376667253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036048989

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3165 MYRTLE AVE, Granite City, IL 62040

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA74878IL

Medicaid036048989IL

Medicare ID-Type Unspecified649060IL

Other Providers at the Same Location NPPES 9

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

AHMAD & RANA PEDIATRICS, LTD

Pediatrics

3165 MYRTLE AVE
GRANITE CITY, IL 62040

Madison County (618) 876-7500

JAROD DWAYNE SKOUBY M.D.

Pediatrics

3165 MYRTLE AVE, SUITE 2
GRANITE CITY, IL 62040

Madison County (618) 876-7500

SHAHNAZ AHMAD MD

Pediatrics

3165 MYRTLE AVE, STE 2
GRANITE CITY, IL 62040

Madison County (618) 876-7500

DR. PRASANNA C KUMAR M.D.

Internal Medicine

3165 MYRTLE AVE
GRANITE CITY, IL 62040

Madison County (618) 877-3066

DR. YOGENDRA A. SHAH, MD. SC

Specialist

3165 MYRTLE AVE
GRANITE CITY, IL 62040

Madison County (618) 451-7717

JAMIL RANA MD

Pediatrics

3165 MYRTLE AVE, SUITE 2
GRANITE CITY, IL 62040

Madison County (618) 876-7500

DR. KANUBHAI M PATEL M.D.

Internal Medicine

3165 MYRTLE AVE
GRANITE CITY, IL 62040

Madison County (618) 877-3066

DR. SHAFIQUE AHMAD MD

Pediatrics

3165 MYRTLE AVE, SUITE 2
GRANITE CITY, IL 62040

Madison County (618) 876-7500

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 Yogendra Shah's NPI number?

The NPI number for Yogendra Shah is 1376667253. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Yogendra Shah located?

Yogendra Shah practices at 3165 Myrtle Ave, Granite City, IL 62040. The listed phone number is (618) 451-7717.

What is Yogendra Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Yogendra Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.