Shah, Anil
Shah, Anil is an sole proprietor health care provider with primary practice located at 19300 Sw 65Th Ave , Tualatin OR 97062-7706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shah, Anil can be contacted via phone (503) 692-2439.Contact Information
Primary practice address
19300 Sw 65Th Ave
Tualatin OR 97062-7706
Phone: (503) 692-2439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD25450 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD25450 | Oregon |
Profile Details
| NPI number | 1629047212 |
|---|---|
| LBN Legal business name | Shah, Anil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 16th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629047212 | NPPES |
| Oregon | MEDICAID | 277891 |
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