NPI 1558660779 · live from the CMS NPI Registry
Tara Shah, M.D.
Internal Medicine, Interventional Cardiology in Flushing, NY. National Provider Identifier 1558660779, active.
NPI record
| NPI | 1558660779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Interventional Cardiology 207RI0011X |
| Practice location | 5645 Main St, Flushing, NY 11355 |
| Practice phone | 718-670-1651 |
| Mailing address | 200 Hygeia Dr Ste 2300, Newark, DE 19713 |
| Enumerated | March 28, 2011 |
| Last updated | November 30, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | C1-0013238 (DE) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 280056 (NY) |
| Internal Medicine, Interventional Cardiology | 207RI0011X | C1-0013238 (DE) |
| Internal Medicine, Interventional Cardiology primary | 207RI0011X | 280056 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.