MEDICARE: DR. MANISH HARIKANT 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	2086S0122X	Plastic and Reconstructive Surgery Physician	46245	GA
2	2086S0122X	Plastic and Reconstructive Surgery Physician	43479	CO
3	2086S0122X	Plastic and Reconstructive Surgery Physician	232028	NY

General Provider Information

NPI Number	:	1437121340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANISH HARIKANT SHAH M.D.

Provider Business Mailing Address
First Line	:	4545 E 9TH AVE STE 490
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3904
Country	:	US
Telephone Number	:	303-399-3791
Fax Number	:	303-321-0399

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE
Second Line	:	SUITE 490
City	:	DENVER
State	:	CO
Zip	:	80220-3901
Country	:	US
Telephone Number	:	303-399-3791
Fax Number	:	303-321-0399

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	12/16/2025

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