Individual
TINA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 BROADWAY BLVD, KANSAS CITY, MO 64111-3315
(703) 751-8804
(703) 751-1218
Mailing address
4440 BROADWAY BLVD, KANSAS CITY, MO 64111-3315
(703) 751-8804
(703) 751-1218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD038290
DC
207RR0500X
Rheumatology Physician
Primary
MD038290
DC
208M00000X
Hospitalist Physician
0101247807
VA
Other
Enumeration date
07/07/2008
Last updated
03/15/2021
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