Individual
NEIL SAMIR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 S J ST FL 4, TACOMA, WA 98405-4930
(253) 274-7504
(253) 274-7994
Mailing address
1608 S J ST FL 4, TACOMA, WA 98405-4930
(253) 274-7504
(253) 274-7994
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301098486
MI
207X00000X
Orthopaedic Surgery Physician
Primary
MD61056148
WA
207XS0106X
Orthopaedic Hand Surgery Physician
MD61056148
WA
390200000X
Student in an Organized Health Care Education/Training Program
48938
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162457
—
WA
Enumeration date
05/26/2011
Last updated
09/10/2020
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