Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sidra Rehan Shah, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790364263

Dr. Sidra Rehan Shah, DO is an Internal Medicine in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Knd Development 59 LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
5
Licensed in
KY, OH
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Louisville, KY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence TP232 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1790364263
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Knd Development 59 Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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