Healthcare Provider Details

I. General information

NPI: 1700892254
Provider Name (Legal Business Name): RASHMIKANT BACHUBHAI SHAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 S CRYSTAL ST SOUTHWEST MONTANA RADIOLOGY
BUTTE MT
59701
US

IV. Provider business mailing address

PO BOX 84171 SOUTHWEST MONTANA RADIOLOGY
SEATTLE WA
98124
US

V. Phone/Fax

Practice location:
  • Phone: 406-496-3535
  • Fax: 406-496-3525
Mailing address:
  • Phone: 406-496-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number210652
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number210652
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number11400
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number210652
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: