MD Rakesh R Shah, NPI 1902868433
Diagnostic Radiology Physician in Boise, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1902868433
NPI Entity Type Individual
Provider Name MD Rakesh R Shah
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 333 N 1st St Ste 250, Boise, ID, US
Provider Mailing Address 190 E Bannock St, Boise, ID, US, 837126241
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. MC-1523
License State ID
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

MD Rakesh R Shah
333 N 1st St Ste 250

Boise, ID, US

Phone: 208-381-9384

Mailing Address

MD Rakesh R Shah
190 E Bannock St
Boise, ID, US
ZIP 837126241

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

J2321 TX No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100155790A OK MEDICAID 05
103357301 TX MEDICAID 05
123729100 FIRSTCARE 01
82R448 TX BLUE CROSS 01
MDJ2321 TX WORKERS COMPENSATION 01
Q3953 NM MEDICAID 05

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