Individual
DR. RAJ SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(844) 422-7296
Mailing address
8109 W SANDS RD, GLENDALE, AZ 85303-0008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70555
AZ
207RI0011X
Interventional Cardiology Physician
70555
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
04/28/2026
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