Individual
PRIYA VALLABH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8308 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110-7637
(505) 883-9507
Mailing address
8308 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110-7637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-20200048
NM
390200000X
Student in an Organized Health Care Education/Training Program
MD2020-0048
NM
390200000X
Student in an Organized Health Care Education/Training Program
TL.0006689
CO
Other
Enumeration date
03/21/2017
Last updated
09/25/2025
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