| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RAJESH PRAVIN SHAH | 1982867321 | 2024-04-07 |
Rajesh P Shah [M] graduated in 2004 and primarily specializes in Diagnostic Radiology.
Rajesh Pravin Shah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982867321. Registration indicates Rajesh Pravin Shah is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Radiology (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 5294929790 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Rajesh Pravin Shah M.D. |
| Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
| Practice Office Telephone | 6507234000 |
| Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
| Business Telephone | 6507234000 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0204X PRIMARY | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | A108617
CA |