Individual
DR. RAJEEV K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
L9901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180130001
—
TX
05
—
180130002
—
TX
01
—
180130003
CSHCN1
TX
01
—
180130004
CSHCN2
TX
01
—
L9901
TEXAS LICENSE
TX
01
—
P00334507
RRMCARE
—
Enumeration date
03/24/2006
Last updated
01/13/2015
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