Active NPI
Rajesh Shah, MD, LLC
- Specialist
- Baltimore, MD
National Provider Identifier
1356084685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- RAJESH SHAH, MD, LLC
- Practice address
- 821 N Eutaw St Ste 305
Baltimore, MD 21201-6303 - Phone
- (410) 669-9318
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saira Salim
- Title
- Billing Manager
- Phone
- (443) 805-6184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
821 N Eutaw St Ste 305
Baltimore, MD 21201-6303
Mailing address
821 N Eutaw St Ste 305
Baltimore, MD 21201-6303
Phone (410) 669-9318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3290 North Ridge Rd
Ste 100
Ellicott City, MD 21043
Phone (410) 313-9292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649894400000",
"number": "1356084685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 N EUTAW ST STE 305",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212016303",
"telephone_number": "410-669-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N EUTAW ST STE 305",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212016303",
"telephone_number": "410-669-9318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJESH SHAH, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A",
"authorized_official_last_name": "SALIM",
"authorized_official_first_name": "SAIRA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "443-805-6184"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.