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Deactivated NPI 1023019882 Deactivated / Inactive NPI Male Practitioner

Dr. Raju S Shah , MD

Colon & Rectal Surgery • Maumee, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raju Shah has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Raju Shah, MD was a registered Colon & Rectal Surgery practicing in Maumee, OH. Throughout an active medical career spanning 1 years, Dr. Shah provided care at the practice location at 5705 MONCLOVA RD until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

5705 Monclova Rd
Suite 203

Maumee, OH 435371875

Telephone 4198932622
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Maumee, OH (124 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License OH 35-03-6372-S

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0392632 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Asish Mukherjee , MD

Colon & Rectal Surgery

NPI 1386607513

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 5705 MONCLOVA RD, SUITE 203, MAUMEE, OH 435371875 (Tel: 4198932622)

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Updated Business Mailing Address July 08, 2007

Registered at 5705 MONCLOVA RD, SUITE 203, MAUMEE, OH 435371875 (Tel: 4198932622)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RAJU SHAH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Colon & Rectal Surgery (License #35-03-6372-S in OH)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023019882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: July 13, 2026
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

5705 Monclova Rd, Suite 203

Maumee, OH 435371875

Phone: 4198932622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.