Healthcare Provider Details

I. General information

NPI: 1467526228
Provider Name (Legal Business Name): ASHOK SHAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 RODMAN ST
FALL RIVER MA
02721
US

IV. Provider business mailing address

PO BOX 179 SOUTH STATION
FALL RIVER MA
02724
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-0010
  • Fax: 508-672-4679
Mailing address:
  • Phone: 508-679-0010
  • Fax: 508-672-4679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39134
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number39134
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: