Individual
RAZA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2919 OLNEY SANDY SPRING RD STE D, OLNEY, MD 20832
(301) 876-4900
(240) 483-4493
Mailing address
2919 OLNEY SANDY SPRING RD STE D, OLNEY, MD 20832-1589
(301) 876-4900
(240) 483-4493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193230
PA
207W00000X
Ophthalmology Physician
47350
AZ
207W00000X
Ophthalmology Physician
Primary
DO070196
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
26983
WV
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD046226
DC
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD455997
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0070196
MEDICAL BOARD
MD
01
—
MD046226
MEDICAL BOARD
DC
01
—
MT193230
MEDICAL TRAINING
—
Enumeration date
06/25/2008
Last updated
05/16/2019
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