| Dr Tariq Shah, MD | |
|
700 W 7th St Ste S270, Los Angeles, CA 90017-3977 | |
| (213) 409-6686 | |
| (213) 988-8390 |
| Full Name | Dr Tariq Shah |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 37 Years |
| Location | 700 W 7th St Ste S270, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750452116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | A66881 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita-hollywood Dialysis Center | Los angeles, CA | Dialysis facility |
| Davita-santa Monica Dialysis | Santa monica, CA | Dialysis facility |
| Providence Saint John's Health Center | Santa monica, CA | Hospital |
| Good Samaritan Hospital | Los angeles, CA | Hospital |
| Hollywood Presbyterian Medical Center | Los angeles, CA | Hospital |
| Entity Name | Kidney Disease Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740392810 PECOS PAC ID: 3173542198 Enrollment ID: O20051117001054 |
| Entity Name | Tariq Shah Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669536975 PECOS PAC ID: 1254436033 Enrollment ID: O20070424000337 |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Entity Name | Jessica Wong Nurse Practitioner |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417721770 PECOS PAC ID: 4385189240 Enrollment ID: O20240716000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tariq Shah, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Dr Tariq Shah, MD 700 W 7th St Ste S270, Los Angeles, CA 90017-3977 Ph: (213) 409-6686 |
Dr. Linda Fong, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290 | |
Dr. Robert Peter Gale, Nephrology Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010 | |
Dr. Tarek Alasil, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290 | |
David Michael Tellalian, MD Nephrology Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308 | |
Dr. Jan B King, M.D., M.P.H. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701 | |
Dr. Caroline Hwang, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100 | |
Dr. Jennifer A Fulcher, M.D., PH.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225 |