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DR. YOGENDRA A. SHAH, MD. SC
NPI 1386907707
Specialist in Granite City, IL

Active since June 20, 2012
3165 MYRTLE AVE, GRANITE CITY, IL 62040(618) 451-7717(618) 451-7780 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Yogendra A. Shah, Md. Sc NPPES

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

DR. YOGENDRA A. SHAH, MD. SC (NPI 1386907707) is a healthcare organization registered as a specialist in Granite City, Illinois and active in the NPI registry since June 2012. The organization lists Yogendra Ambalal Shah, Gyn, as its authorized official.

NPPES Registry Identity

NPI1386907707
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDR. YOGENDRA A. SHAH, MD. SC
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
Organization SubpartNo
Authorized OfficialYogendra Ambalal ShahGyn · (618) 451-7717
Enumeration DateJune 20, 2012
✔ NPI 1386907707 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
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Other Identifiers 3

Medicare PIN649060IL
Medicaid036048989IL
Medicare UPINA74878IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 AMBALAL SHAH M.D.,S.C.
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 Dr. Yogendra A. Shah, MD. Sc's NPI number?

The NPI number for Dr. Yogendra A. Shah, MD. Sc is 1386907707. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Dr. Yogendra A. Shah, MD. Sc located?

Dr. Yogendra A. Shah, MD. Sc is located at 3165 Myrtle Ave, Granite City, IL 62040. The listed phone number is (618) 451-7717.

What is Dr. Yogendra A. Shah, MD. Sc'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 Dr. Yogendra A. Shah, MD. Sc was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.