Individual
ANISH P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4315 HOUMA BLVD STE 305, METAIRIE, LA 70006-2944
(504) 455-4622
(504) 455-4688
Mailing address
4315 HOUMA BLVD STE 305, METAIRIE, LA 70006-2944
(504) 455-4622
(504) 455-4688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M7613
TX
207RI0200X
Infectious Disease Physician
000006
LA
207RI0200X
Infectious Disease Physician
Primary
DO.000006
LA
207RI0200X
Infectious Disease Physician
M7613
TX
208M00000X
Hospitalist Physician
M7613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006
LICENSE
LA
01
—
1265487375
NPI
LA
05
—
186549502
—
TX
05
—
186549503
—
TX
05
—
186549504
—
TX
05
—
186549505
—
TX
05
—
186549506
—
TX
Enumeration date
05/24/2006
Last updated
03/11/2026
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