Organization
SANJAY N SHAH MD INC
Active
Parent organization
SANJAY N SHAH MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANJAY N SHAH MD INC
Authorized official
DR. SANJAY N SHAH MD (OWNER)
(330) 343-1900
Entity
Organization
Contact information
Practice address
847 BOULEVARD, DOVER, OH 44622
(330) 343-1900
(330) 364-6891
Mailing address
847 BOULEVARD, DOVER, OH 44622
(330) 343-1900
(330) 364-6891
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35037051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35086
—
OH
05
—
9284081
—
OH
Enumeration date
02/01/2008
Last updated
02/01/2008
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