| Rajiv Shah, MD | |
|
6750 S Highland Drive, Cottonwood Heights, UT 84121-1829 | |
| (801) 685-7246 | |
| (801) 747-5487 |
| Full Name | Rajiv Shah |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 34 Years |
| Location | 6750 S Highland Drive, Cottonwood Heights, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285664185 | NPI | - | NPPES |
| P00050624 | Other | UT | RAILROAD NUMBER |
| D5067 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 52-94765-1205 (Utah) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 52-94765-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine Care Center, Llc | 4789682352 | 2 |
| Entity Name | Spine Care Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992736557 PECOS PAC ID: 4789682352 Enrollment ID: O20061114000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Rajiv Shah, MD 6750 S Highland Drive, Cottonwood Heights, UT 84121-1829 Ph: (801) 685-7246 | Rajiv Shah, MD 6750 S Highland Drive, Cottonwood Heights, UT 84121-1829 Ph: (801) 685-7246 |
Dr. Kyle Shigeru Matsumura, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 Phone: 801-685-7246 Fax: 801-747-5487 | |
Dr. Arun Rajagopal, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 Phone: 801-685-7246 |