Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-43883 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | 35-08-7069 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 46040 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | DR.0067374 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | MD463497 | PA |
NPI | 1326004896 |
---|---|
Provider Name | Dr. Tushar Nandlal Shah |
First Address | Louisville, KY 40201-0909 |
Second Address | Durango, CO 81301-7306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 27/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2595955 | (05) | OH |
H12635 | (02) | OH |