Shah, Rakesh R
Shah, Rakesh R is an individual health care provider with primary practice located at 333 N 1St St Ste 250 , Boise ID 83702-6132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Shah, Rakesh R can be contacted via phone (208) 381-9384.Contact Information
Primary practice address
333 N 1St St Ste 250
Boise ID 83702-6132
Phone: (208) 381-9384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J2321 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MC-1523 | Idaho |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5145 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD210225 | Oregon |
Profile Details
| NPI number | 1902868433 |
|---|---|
| LBN Legal business name | Shah, Rakesh R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | May 15th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902868433 | NPPES |
| Texas | Other | 82R448 | BLUE CROSS |
| Texas | Other | 123729100 | BLUE CROSS |
| Texas | Other | MDJ2321 | BLUE CROSS |
| Texas | MEDICAID | Q3953 | BLUE CROSS |
| Texas | MEDICAID | 103357301 | BLUE CROSS |
| Texas | MEDICAID | 100155790A | BLUE CROSS |
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