Individual
DR. SHAHLA P RAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 AVOCADO AVE STE 309, NEWPORT BEACH, CA 92660-7704
(949) 650-6700
(949) 650-6707
Mailing address
1441 AVOCADO AVE STE 309, NEWPORT BEACH, CA 92660-7704
(949) 650-6700
(949) 650-6700
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C51993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C519930
—
CA
05
—
1356370209
—
CA
01
—
C51993
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
07/02/2006
Last updated
11/22/2019
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