Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | LT 2765 | NH |
Y | 207X00000X | Orthopaedic Surgeon | MA08542100 | NJ |
N | 207X00000X | Orthopaedic Surgeon | ME96545 | FL |
N | 207XS0117X | Orthopaedic Spine Surgeon | MA08542100 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME96545 | FL |
NPI | 1235242934 |
---|---|
Provider Name | Dr. Rahul V Shah |
First Address | Vineland, NJ 08360-5306 |
Second Address | Vineland, NJ 08360-5306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 09/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30208276 | (05) | NH |
56465 | BCBS (01) | FL |
I36806 | (02) | FL |