Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colon, Rectal and Laser Surgery Associates, Inc

Organization Colon & Rectal Surgery Physician · NPI 1396959136

Colon, Rectal and Laser Surgery Associates, Inc is a Colon & Rectal Surgery Physician in Maumee, Ohio. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5705 Monclova Rd Ste 203
Maumee, OH 43537-1875
Phone: (419) 893-2622
Fax: (419) 893-2755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X

Record details

NPI number1396959136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raju Shah — President · (419) 893-2622
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5705 Monclova Rd, Suite 203, Maumee, OH 43537-1875

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