Individual
DR. MANISHA JAY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
(509) 837-4908
Mailing address
6717 CLEAR SPRINGS CIR, GARLAND, TX 75044-2826
(940) 765-8484
(940) 220-7527
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101271026
VA
207RC0000X
Cardiovascular Disease Physician
2475-320
WI
207RC0000X
Cardiovascular Disease Physician
62629
TN
207RC0000X
Cardiovascular Disease Physician
81548
MN
207RC0000X
Cardiovascular Disease Physician
CDR.0003889
CO
207RC0000X
Cardiovascular Disease Physician
J8767
TX
207RC0000X
Cardiovascular Disease Physician
MD-56384
IA
207RC0000X
Cardiovascular Disease Physician
MD27359
ME
207RC0000X
Cardiovascular Disease Physician
Primary
MD61345543
WA
207RC0000X
Cardiovascular Disease Physician
ME169276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2259012
—
WA
Enumeration date
10/27/2006
Last updated
05/12/2026
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