# BHARAT J SHAH MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396825675
- **Authorized official:** DR. BHARAT J SHAH M.D. (PRESIDENT)
- **Authorized official phone:** (330) 572-0641

## Contact information

- **Practice address:** 63 BAKER BLVD, FAIRLAWN, OH 44333-3601
- **Practice address phone:** (330) 572-0641
- **Practice address fax:** (330) 572-0639
- **Mailing address:** 63 BAKER BLVD, FAIRLAWN, OH 44333-3601
- **Mailing address phone:** (330) 572-0641
- **Mailing address fax:** (330) 572-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 35051270 | OH | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020