Organization
RAJENDRA R. SHAH, M.D., S.C.
Active
Other names
A New You Plastic Surgery CEnter
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA SHAH MD (OWNER)
(708) 424-3999
Entity
Organization
Contact information
Practice address
4944 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 424-3999
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/31/2008
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