RAJU S SHAH M.D. NPI 1023019882

NPI Information

  • NPI: 1023019882
  • Provider Name: RAJU S SHAH, M.D.
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • Address: 5705 MONCLOVA RD
    SUITE 203
    MAUMEE, OH
    ZIP 43537
  • Phone: (419) 893-2622

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NPI Details

Raju S Shah, M.D. is a colon rectal surgery in Maumee, OH. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Raju S Shah, M.D. NPI is 1023019882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5705 MONCLOVA RD
SUITE 203
MAUMEE, OH
ZIP 43537-875
Phone: (419) 893-2622

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/8/2007.

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
1208C00000XColon & Rectal Surgery35-03-6372-SOHIOYes

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
1SHO4322212MEDICARE ID-TYPE UNSPECIFIEDOHIO
20392632MEDICAIDOHIO
3E17936MEDICARE UPINOHIO

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: 11/21/2025

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