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NPI Code Detail

MEDICARE: DR. RAJ P. SHAH M.D.

MEDICARE: DR. RAJ P. SHAH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician25MA12893800NJ
22085R0202XDiagnostic Radiology PhysicianMD484497PA
32085R0202XDiagnostic Radiology Physician278553MA
4207R00000XInternal Medicine Physician255564MA
52085R0204XVascular & Interventional Radiology PhysicianMD2025-0973NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215377981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJ P. SHAH M.D.
Provider Business Mailing Address
First Line : 45 TEMPLE ST UNIT 106
Second Line :
City : BOSTON
State : MA
Zip : 02114-4272
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 OLD YORK RD
Second Line :
City : ABINGTON
State : PA
Zip : 19001-3720
Country : US
Telephone Number : 215-481-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 03/13/2026

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