Individual
DR. RAJIV EDLAGAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4091
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2016-01889
NC
207W00000X
Ophthalmology Physician
242678
MA
207W00000X
Ophthalmology Physician
4301104085
MI
207W00000X
Ophthalmology Physician
MD436536
PA
Other
Enumeration date
03/22/2009
Last updated
08/31/2016
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