Shah, Samantha Rao

Shah, Samantha Rao is an individual health care provider with primary practice located at 3521 Nw Samaritan Dr Ste 201 , Corvallis OR 97330-4744. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shah, Samantha Rao can be contacted via phone (541) 768-5140.

Contact Information

Primary practice address
3521 Nw Samaritan Dr Ste 201 Corvallis OR 97330-4744
Phone: (541) 768-5140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD424815 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD173772 Oregon

Profile Details

NPI number 1659355899
LBN Legal business name Shah, Samantha Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jan 14th, 2021 - 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 1659355899 NPPES
Oregon MEDICAID 500692604
Oregon Other 597586
Oregon Other 080097556
Oregon MEDICAID 1015043540001

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