Individual
DR. HEMANT M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3533 SOUTHERN BLVD STE 5800, KETTERING, OH 45429-1263
(937) 439-3600
(937) 741-8366
Mailing address
PO BOX 933242, CLEVELAND, OH 44193-0035
(937) 439-3600
(937) 439-3786
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-065435
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-65435
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35-065435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110084173
RRMEDICARE PTAN
OH
05
—
958629
—
OH
Enumeration date
07/21/2006
Last updated
08/20/2025
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