Individual
DR. RAJNIKANT K SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S, M.D.S
Contact information
Practice address
2121 W MAIN ST, JEFFERSONVILLE, PA 19403-3005
(610) 539-6550
(610) 539-4751
Mailing address
2121 W MAIN ST, JEFFERSONVILLE, PA 19403-3005
(610) 539-6550
(610) 539-4751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 20620-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS020620-L
DENTIST
PA
Enumeration date
10/28/2006
Last updated
07/08/2007
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