Individual
DR. RAKESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 BLOSSOM ST, SUITE D, WEBSTER, TX 77598
(832) 905-5940
(832) 905-5941
Mailing address
450 BLOSSOM ST, SUITE D, WEBSTER, TX 77598-4228
(832) 905-5940
(832) 905-5941
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L4707
TX
207RC0000X
Cardiovascular Disease Physician
Primary
L4707
TX
207RI0011X
Interventional Cardiology Physician
L4707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505265-04
—
TX
Enumeration date
06/12/2006
Last updated
09/08/2023
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