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Individual

MR. CHIRAG ASHVIN SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6730 ROOSEVELT AVE STE 303, MIDDLETOWN, OH 45005-0017
(513) 874-0486
(513) 280-8868
Mailing address
PO BOX 229, MIAMISBURG, OH 45343-0229
(513) 874-0486
(513) 280-8868

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-078612
OH
208M00000X
Hospitalist Physician
35-078612
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154658
OH
05
200987690
IN
05
7100188160
KY
01
P00388640
RR MEDICARE
01
P1009946
RR MEDICARE
OH
Enumeration date
04/12/2006
Last updated
07/16/2024
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