Individual
DR. BAIJU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD188735
OR
2085N0700X
Neuroradiology Physician
MD60511642
WA
2085R0202X
Diagnostic Radiology Physician
MD188735
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60511642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0339273
LNI-DIAGNOSTIC IMAGING NORTHWEST
WA
01
—
0365588
LNI-TRA REST OF WA
WA
01
—
0365589
LNI-TRA KING COUNTY
WA
01
—
0365590
LNI-UNION AVENUE OPEN MRI
WA
05
—
2041480
—
WA
Enumeration date
08/05/2007
Last updated
08/30/2024
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