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Individual

NILESH S. SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1536 N 115TH ST STE 340, SEATTLE, WA 98133-8412
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
239514
NY
207Y00000X
Otolaryngology Physician
Primary
MD60086328
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366590820
WA
Enumeration date
01/08/2007
Last updated
11/01/2019
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