Provider Demographics
NPI:1144297219
Name:SHAH, RAKESH (MD)
Entity type:Individual
Prefix:
First Name:RAKESH
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 320
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1209
Practice Address - Country:US
Practice Address - Phone:215-750-7818
Practice Address - Fax:215-752-0436
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2021-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD059258L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018476690003Medicaid
PA0898440000OtherKEYSTONE
PA7386541OtherCIGNA PA
PA999266OtherPENNSYLVANIA BLUE SHIELD
PAP01123860OtherRAILROAD MEDICARE
PA7078211OtherAETNA
PA30120536OtherKEYSTONE FIRST
PAG41467Medicare UPIN
PA0018476690003Medicaid
NJ999588OtherPENNSYLVANIA BLUE SHIELD