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

Dr. Kishan Mitesh Shah, MD

Individual provider Dermatology Physician · NPI 1710449764

Dr. Kishan Mitesh Shah, MD is a Dermatology in Taos, New Mexico. Graduated from Indiana University School of Medicine in 2019, 7 years ago. Practices with Epiphany Dermatology of Colorado LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
7
Trained at
Indiana University School of Medicine
Licensed in
CO, NM
In the registry since
2019
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

1353 Paseo Del Pueblo Sur Ste D
Taos, NM 87571-5958
Phone: (575) 613-8090
Fax: (575) 613-8091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD2024-0189 (NM)
Dermatology Physician Taxonomy 207N00000X · Licence DR.0072048 (CO)

Record details

NPI number1710449764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Epiphany Dermatology Of Colorado Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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