Tariq Shah, M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A66881 Issued in CA

Legal business name

TARIQ SHAH, M.D., INC.

Practice address

2200 W 3Rd St
Suite 500
Los Angeles, CA 90057-1932

Phone

(213) 207-5711

Fax

(213) 413-0190

NPI assigned

Dec 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tariq Shah, M.D.

Title

President

Phone

(213) 207-5711

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1669536975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 3RD ST",
            "address_2": "SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571932",
            "telephone_number": "213-207-5711",
            "fax_number": "213-413-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 3RD ST",
            "address_2": "SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571932",
            "telephone_number": "213-207-5711",
            "fax_number": "213-413-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARIQ SHAH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-207-5711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A66881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY TYPE 1 NPI #",
            "identifier": "1750452116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Aileen Tarazon
• Sophia Melina Tardieux
• Tammy Tarhini, MD
• Diane Chie Tarica, DDS
• Lucila Tarin, M.D.
• Tarlan P Akhavan DDS a Professional Corporation
• Tarlan, P. Akhavan DDS a Prof Corp
• Susanne Tarleton, PSYD
• Leslie Tarlow, N.P.
• Jennifer Tarm, M.S.

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.