IndividualActive
Raja Shah
NPI 1962631275 · Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1962631275
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DD3653 (NM)
Specialties & taxonomies
Dental Providers
Practice location
4701 Lomas Blvd Ne
Albuquerque, NM 87110-6233
Phone: (505) 254-2273
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Nemesia Pl Ne
Albuquerque, NM 87112-6321
Registry dates
- Enumerated
- 2009-07-08
- Last updated
- 2015-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.