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Individual

ALI J. SHADCHEHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34011246
OH
208M00000X
Hospitalist Physician
Primary
34.011246
OH

Other

Enumeration date
05/20/2011
Last updated
12/20/2024
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