Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colette Shaw, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1780810986

Colette Shaw, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 1999, 27 years ago. Practices with Radiology Associates of Atlanta PA, a 40-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
27
Licensed in
PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 11th St Ste 3390
Philadelphia, PA 19107-4824
Phone: (215) 955-6226
Fax: (215) 923-1562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD442733 (PA)
Specialist Taxonomy 174400000X · Licence MD442733 (PA)

Record details

NPI number1780810986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2009
Last updated in NPPESNovember 15, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Radiology Associates Of Atlanta Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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