| Prakash Shah Md | |
|
1724 Kenton St Suite 1-d Hopkinsville KY 42240-1981 | |
| (270) 887-9066 | |
| (270) 887-9199 |
| Full Name | Prakash Shah Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1724 Kenton St, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Prakash N Shah (PHYSICIAN) |
| Authorized Official Contact | 2708879066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash Shah Md 1724 Kenton St Suite 1-d Hopkinsville KY 42240-1981 Ph: (270) 887-9066 | Prakash Shah Md 1724 Kenton St Suite 1-d Hopkinsville KY 42240-1981 Ph: (270) 887-9066 |
| NPI Number | 1679753073 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 0648250852 |
|---|---|
| Medicare Enrollment ID | O20040720000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679753073 | NPI | - | NPPES |
| 64310113 | Medicaid | KY | |
| 000000050781 | Other | KY | ANTHEM |
| 110090936 | Other | KY | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31011 (Kentucky) | Primary |
| Provider Name | Prakash N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902803513 PECOS PAC ID: 0446230650 Enrollment ID: I20090122000166 |
Chester L. Crump Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 High St, Suite 2d, Hopkinsville, KY 42240 Phone: 270-885-6101 Fax: 270-885-3563 | |
Baptist Health Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Clinic Dr, Hopkinsville, KY 42240 Phone: 270-707-4262 Fax: 270-707-4280 | |
William E. Sweet, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 S Virginia St, Hopkinsville, KY 42240 Phone: 270-890-0440 Fax: 270-890-0449 | |
Generations Long Term Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 Burley Ave, Hopkinsville, KY 42240 Phone: 270-887-6767 Fax: 270-887-8344 | |
Pennyroyal Healthcare Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 S Virginia St, Hopkinsville, KY 42240 Phone: 270-365-0227 Fax: 270-365-2559 | |
Jennie Stuart Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 High St, Suite 4b, Hopkinsville, KY 42240 Phone: 270-985-1376 Fax: 270-890-6036 | |
Convenient Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 W 18th St, Hopkinsville, KY 42240 Phone: 270-887-0100 Fax: 270-887-0425 |