Individual
RAJIV SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6750 S HIGHLAND DRIVE, COTTONWOOD HEIGHTS, UT 84121-1829
(801) 685-7246
(801) 747-5487
Mailing address
6750 S HIGHLAND DRIVE, COTTONWOOD HEIGHTS, UT 84121-1829
(801) 685-7246
(801) 747-5487
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
52-94765-1205
UT
208VP0014X
Interventional Pain Medicine Physician
Primary
52-94765-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5067
—
UT
01
—
P00050624
RAILROAD NUMBER
UT
Enumeration date
07/04/2006
Last updated
08/12/2016
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