DR. RAJUL M SHAH D.D.S. NPI 1912056722

NPI Information

NPI: 1912056722
Provider Name: DR. RAJUL M SHAH, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
701 W ESPLANADE AVE
STE K & L
SAN JACINTO, CA
ZIP 92582
Phone: (951) 654-3424
Get Directions

DR. Rajul M Shah, D.D.S. is a general practice dentist in San Jacinto, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Rajul M Shah, D.D.S. NPI is 1912056722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 W ESPLANADE AVE
STE K & L
SAN JACINTO, CA
ZIP 92582-540
Phone: (951) 654-3424
Fax: (951) 654-9423

The enumeration date for this NPI number is 1/10/2007 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	50823	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	193230807902	MEDICAID	CALIFORNIA
2	193230807901	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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