MEDICARE: DR. TUSHAR NANDLAL SHAH M.D.

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	35-08-7069	OH
2	207R00000X	Internal Medicine Physician	35-08-7069	OH
3	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	35-08-7069	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326004896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUSHAR NANDLAL SHAH M.D.

Provider Business Mailing Address
First Line	:	241 SUMMERFORD PL
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-4633
Country	:	US
Telephone Number	:	937-371-1677
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 SUMMERFORD PL
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-4633
Country	:	US
Telephone Number	:	937-371-1677
Fax Number	:

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	04/09/2026

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