Individual
TINA P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1536 N 115TH ST STE 200, SEATTLE, WA 98133-8400
(206) 363-1004
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD.MD.60894826
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60894826
WA
207RC0000X
Cardiovascular Disease Physician
N2796
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT185410
PA
Other
Enumeration date
05/11/2007
Last updated
06/01/2026
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