# DR. VIDHI PANKAJ SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497012033
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 35-126717 | OH | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 126717 | OH | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | A164245 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 06/15/2020