Provider Demographics
NPI:1447406160
Name:SHAH, PAYAL NAIMESH (MD)
Entity Type:Individual
Prefix:
First Name:PAYAL
Middle Name:NAIMESH
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 KALORAMA RD NW
Mailing Address - Street 2:APT 204
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3500
Mailing Address - Country:US
Mailing Address - Phone:801-953-6623
Mailing Address - Fax:
Practice Address - Street 1:1701 KALORAMA RD NW
Practice Address - Street 2:APT 204
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-3500
Practice Address - Country:US
Practice Address - Phone:801-953-6623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCTRAINING207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine