Individual
DR. PAYAL MITESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1314 CENTRAL AVE S STE 102, KENT, WA 98032-7430
(253) 397-8683
(253) 342-4353
Mailing address
1380 112TH AVE NE STE 100, BELLEVUE, WA 98004-3759
(253) 397-8683
(253) 342-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60191665
WA
207Q00000X
Family Medicine Physician
MT 194034
PA
Other
Enumeration date
07/17/2008
Last updated
10/16/2024
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