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

Individual provider Nephrology Physician · NPI 1750452116

Dr. Tariq Shah, MD is a Nephrology in Los Angeles, California. Qualified in 1989, 37 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2006
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

700 W 7th St Ste S270
Los Angeles, CA 90017-3977
Phone: (213) 409-6686
Fax: (213) 988-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2200 W 3rd St, Los Angeles, CA 90057-1932 — (213) 207-5711

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A66881 (CA)

Record details

NPI number1750452116
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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