Dr. Nishant R Shah, MD
Internal Medicine, Cardiovascular Disease in Providence, Rhode Island
1578717716- Practice location
- 164 Summit Ave, Providence, RI 02906-2894
- Phone
- 401-793-4102
- Fax
- —
- Last updated
- November 11, 2026
Nishant Raj Shah is an Internal Medicine, Cardiovascular Disease based in Providence, RI. Nishant Raj Shah practices in Providence, RI and has the professional credentials of MD. The NPI Number for Nishant Raj Shah is 1578717716 and holds a License No. MD15067 (RI). The current practice location address for Nishant Raj Shah is 164 Summit Ave, Providence, RI 02906-2894 and can be reached out via phone at 401-793-4102.
Provider Profile Details
- NPI Number
- 1578717716
- Provider Name
- Nishant Raj Shah
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 164 Summit Ave, Providence, RI 02906-2894
- Phone Number
- 401-793-4102
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 14, 2008
- Last Update Date
- November 11, 2026
- Certification Date
- November 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 164 Summit Ave
Providence, RI 02906-2894 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-2894
- Phone Number
- 401-793-4102
Provider Business Mailing Address Details
- Address
- 15 La Salle Sq
Providence, RI 02903-1814 - City
- Providence
- State
- RI
- Zip
- 02903-1814
License Information
- License Number (1)
- MD15067
- License State (1)
- RI
- Taxonomy (1)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
- License Number (2)
- 253914
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nishant R Shah, MD?
The NPI number of Dr. Nishant R Shah, MD is 1578717716. It was assigned on November 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Nishant R Shah, MD?
Dr. Nishant R Shah, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in RI under license number MD15067.
Where does Dr. Nishant R Shah, MD practice?
The practice location is 164 Summit Ave, Providence, RI 02906-2894. The office can be reached at 401-793-4102 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578717716 directly on the NPPES registry website.