Organization
TARIQ SHAH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ SHAH M.D. (PRESIDENT)
(213) 207-5711
Entity
Organization
Contact information
Practice address
2200 W 3RD ST, SUITE 500, LOS ANGELES, CA 90057-1932
(213) 207-5711
(213) 413-0190
Mailing address
2200 W 3RD ST, SUITE 500, LOS ANGELES, CA 90057-1932
(213) 207-5711
(213) 413-0190
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A66881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750452116
ENTITY TYPE 1 NPI #
CA
Enumeration date
12/21/2006
Last updated
08/27/2014
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