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Individual

DR. RAJIV K SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110-1032
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2016013206
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2016013206
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200034984
MO
Enumeration date
06/17/2010
Last updated
04/17/2025
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