Individual
TANYA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
(406) 751-3068
Mailing address
2323 KNOLL DR STE 219, VENTURA, CA 93003-7307
(805) 677-5181
(805) 677-5304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A175954
CA
207Q00000X
Family Medicine Physician
Primary
MD216260
OR
207Q00000X
Family Medicine Physician
MED-PHYS-LIC-103371
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2018
Last updated
04/28/2025
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