MEDICARE: AKASH 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	207X00000X	Orthopaedic Surgery Physician	1018322	MA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207X00000X	Orthopaedic Surgery Physician	A163946	CA

General Provider Information

NPI Number	:	1932605094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKASH SHAH MD

Provider Business Mailing Address
First Line	:	2 BON AIR RD STE 120
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 BON AIR RD STE 120
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1142
Country	:	US
Telephone Number	:	415-925-8200
Fax Number	:

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

Provider Enumeration Date	:	04/05/2018
Last Update Date	:	08/25/2025

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