Organization
ACTIVATE CR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN SHAH MD (OWNER)
(516) 721-7069
Entity
Organization
Contact information
Practice address
13500 PONDER LN, FRISCO, TX 75035-5974
(214) 272-2774
(214) 444-7059
Mailing address
PO BOX 516, OREGON, IL 61061-0516
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
04/17/2025
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