MEDICARE: TINA P SHAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD.MD.60894826	WA
2	207RC0000X	Cardiovascular Disease Physician	N2796	TX

General Provider Information

NPI Number	:	1851506067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA P SHAH MD

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:	206-520-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1536 N 115TH ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-8400
Country	:	US
Telephone Number	:	206-363-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	06/01/2026

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Directions to “ TINA P SHAH MD” Practice Location

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