Look up the most recent NPI and PECOS records

Joel Shah

Internal Medicine

Allopathic & Osteopathic Physicians

4801 Alberta Ave, El Paso, TX 79905-2707

(915) 215-4116

PECOS Enrollment

Based on the most recent information from CMS, provider Joel Shah does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1811689763
Provider Type
Individual
Full Name
Shah, Joel
Credential
DO, MPH

Gender
Male
Sole Proprietor
No
Enumeration Date
5/22/2023
Last Updated
6/12/2023

Contact Information

Practice Location

4801 Alberta Ave, El Paso, TX 79905-2707

(915) 215-4116

Unlisted Fax

Mailing Location

4801 Alberta Ave, El Paso, TX 79905-2707

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10085727 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Joel Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Goranti, Jyothsna

Rojas Murguia, Adrian

Gonzalez Dominguez, Yasser

Corey, Rebecca Lane

Eysha, Mostafa Mohamed M I

Aparece, John Paul Balbuena

Cazares Parson, Marco Alan

Ongsyping, Stevenson Santiago

Araujo Gutierrez, Raquel

Sivaguru, Sreeja