MEDICARE: SHALIN SHAH MD

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	2084P0800X	Psychiatry Physician	340496	NY
2	2084P0800X	Psychiatry Physician	036178251	IL
3	2084P0800X	Psychiatry Physician	DR.0073614	CO

General Provider Information

NPI Number	:	1326620162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALIN SHAH MD

Provider Business Mailing Address
First Line	:	PO BOX 24449
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0589
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	2373 CENTRAL PARK BLVD UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

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

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	01/14/2026

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