Healthcare Provider Details

I. General information

NPI: 1649264060
Provider Name (Legal Business Name): HARISH G SHAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HARISH G SHAH M.D.

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 N CHERRY ST
TULARE CA
93274-2205
US

IV. Provider business mailing address

PO BOX 688
TULARE CA
93275-0688
US

V. Phone/Fax

Practice location:
  • Phone: 559-688-7531
  • Fax: 559-688-3509
Mailing address:
  • Phone: 559-688-7531
  • Fax: 559-688-3509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA84747
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA84747
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: