Rah, Shahla P

Rah, Shahla P is an individual health care provider with primary practice located at 1441 Avocado Ave Ste 309 , Newport Beach CA 92660-7704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Rah, Shahla P can be contacted via phone (949) 650-6700.

Contact Information

Primary practice address
1441 Avocado Ave Ste 309 Newport Beach CA 92660-7704
Phone: (949) 650-6700
Fax: (949) 650-6707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C51993 California

Profile Details

NPI number 1356370209
LBN Legal business name Rah, Shahla P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Nov 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356370209 NPPES
California Other C51993 CALIFORNIA MEDICAL LICENSE
California MEDICAID 00C519930 CALIFORNIA MEDICAL LICENSE
California MEDICAID 1356370209 CALIFORNIA MEDICAL LICENSE

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