Individual
RAJIV K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WHITEHORSE MERCERVILLE RD, BUILDING D, SUITE 203, HAMILTON, NJ 08619-3882
(609) 581-6060
(609) 581-9561
Mailing address
LIFECARE PHYSICIANS, PO BOX 824665, PHILADELPHIA, PA 19182-4665
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA07949900
NJ
208C00000X
Colon & Rectal Surgery Physician
25MA07949900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00831235
RAILROAD MEDICARE
NJ
Enumeration date
05/31/2007
Last updated
12/21/2022
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