# DR. CASSIE SHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154732188
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2017014907 | MO | — |
| 207R00000X | Internal Medicine Physician | MD2018-0460 | NM | — |
| 208M00000X | Hospitalist Physician | MD2018-0460 | NM | Yes |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 06/18/2025
