Individual
TARA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1651
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
280056
NY
207RC0000X
Cardiovascular Disease Physician
C1-0013238
DE
207RI0011X
Interventional Cardiology Physician
Primary
280056
NY
207RI0011X
Interventional Cardiology Physician
C1-0013238
DE
Other
Enumeration date
03/28/2011
Last updated
11/30/2022
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