Organization
RAJESH M SHAH M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH SHAH MD (CEO)
(410) 615-2968
Entity
Organization
Contact information
Practice address
8353 GOVERNOR RUN, ELLICOTT CITY, MD 21043-3448
(410) 615-2968
Mailing address
8353 GOVERNOR RUN, ELLICOTT CITY, MD 21043-3448
(410) 615-2968
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407744000
—
MD
Enumeration date
03/29/2018
Last updated
03/29/2018
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