Individual
RAJESH S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141-8221
(314) 251-2880
Mailing address
615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141-8221
(314) 251-2880
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2002019594
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912066382
—
MO
01
—
P01067271
RAILROAD MEDICARE
MO
Enumeration date
12/08/2006
Last updated
05/18/2022
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