Individual
DR. ANIL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-2439
Mailing address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-2439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD25450
OR
208M00000X
Hospitalist Physician
Primary
MD25450
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277891
—
OR
Enumeration date
03/16/2006
Last updated
07/16/2007
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