Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KISHAN MITESH SHAH, MD
Active Sole ProprietorDR. KISHAN MITESH SHAH, MD is a Dermatology healthcare provider located in TAOS, New Mexico. NPI 1710449764 is currently active in the NPPES registry. Verify at CMS.
Dermatology · TAOS, NM
Registration Details
- NPI Number
- 1710449764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2019 (7.3920255895306 yrs)
- Last Updated
- Oct 24, 2024
- Licenses
-
DR.0072048 (CO)MD2024-0189 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1353 PASEO DEL PUEBLO SUR STE DTAOS, NM, 875715958Browse NM providers · Browse ZIP 87571
- Phone
- 5756138090
- Fax
- 5756138091
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in TAOS, NM
| Name | Credential | NPI |
|---|---|---|
| LESLIE J HAVARD | MD | 1891803920 |
| LAUREN M GOOD | M.D. | 1427379874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.