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Individual

DR. RAPHAEL NDEDE SHAW

Active
Find providers by NPI
Individual

DR. RAPHAEL NDEDE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292465
NY
207R00000X
Internal Medicine Physician
56674
CT
207RI0200X
Infectious Disease Physician
Primary
292465
NY
207RI0200X
Infectious Disease Physician
56674
CT
208M00000X
Hospitalist Physician
56674
CT
208M00000X
Hospitalist Physician
MD28262
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04842339
NY
Enumeration date
05/30/2014
Last updated
07/16/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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