Individual
SANJAY S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 362-3937
(319) 362-2900
Mailing address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 362-3937
(319) 362-2900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28633
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083519
—
IA
Enumeration date
05/05/2006
Last updated
01/03/2011
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