Healthcare Provider Details

I. General information

NPI: 1477488054
Provider Name (Legal Business Name): TOSHA SHAH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE STE 630
BELLEVUE WA
98004-4623
US

IV. Provider business mailing address

1135 116TH AVE NE STE 630
BELLEVUE WA
98004-4623
US

V. Phone/Fax

Practice location:
  • Phone: 425-453-2229
  • Fax:
Mailing address:
  • Phone: 425-453-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMDCE.ML.70113871
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMDCE.ML.70113871
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: