Individual
KEVAL G SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34509 9TH AVE S STE 304, FEDERAL WAY, WA 98003-8709
(253) 939-1230
(206) 933-1047
Mailing address
34509 9TH AVE S STE 304, FEDERAL WAY, WA 98003-8709
(253) 939-1230
(206) 933-1047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54078-20
WI
207RC0000X
Cardiovascular Disease Physician
Primary
MD60714513
WA
208M00000X
Hospitalist Physician
54078-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046466
—
WA
Enumeration date
07/18/2008
Last updated
12/09/2020
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