Organization
COLON, RECTAL AND LASER SURGERY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJU S SHAH M.D. (PRESIDENT)
(419) 893-2622
Entity
Organization
Contact information
Practice address
5705 MONCLOVA RD, SUITE 203, MAUMEE, OH 43537-1875
(419) 893-2622
(419) 893-2755
Mailing address
5705 MONCLOVA RD, SUITE 203, MAUMEE, OH 43537-1875
(419) 893-2622
(419) 893-2755
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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