Provider Demographics
NPI:1275012841
Name:SHAH, RAHEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAHEE
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 PARKWAY OFFICE CT STE 104
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7425
Mailing Address - Country:US
Mailing Address - Phone:919-233-3545
Mailing Address - Fax:
Practice Address - Street 1:135 PARKWAY OFFICE CT STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7425
Practice Address - Country:US
Practice Address - Phone:919-233-3545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027038001223G0001X
NC130521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice