Provider Demographics
NPI:1356450308
Name:SHAH, SAROJ J (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:J
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:SOUTHERN ARIZONA VA HEALTH CARE SYSTEM
Mailing Address - Street 2:3601 S 6TH AVENUE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-629-4783
Practice Address - Street 1:SOUTHERN ARIZONA VA HEALTH CARE SYSTEM
Practice Address - Street 2:3601 S 6TH AVENUE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-629-4783
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR 6E04208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR 6E04OtherLISCENCE #