MEDICARE: DR. RISHIN D 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	207RI0011X	Interventional Cardiology Physician	Q4693	TX
2	207R00000X	Internal Medicine Physician	262983	NY
3	207R00000X	Internal Medicine Physician	036.124200	IL
4	390200000X	Student in an Organized Health Care Education/Training Program		CT

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811101512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RISHIN D SHAH M.D.

Provider Business Mailing Address
First Line	:	5760 LEGACY DR STE B3-424
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7102
Country	:	US
Telephone Number	:	972-391-1940
Fax Number	:	972-391-2061

Provider Business Practice Location Address
First Line	:	6201 DALLAS PKWY STE 210
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4181
Country	:	US
Telephone Number	:	972-947-2447
Fax Number	:	469-661-2330

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	01/27/2026

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