Individual
MR. SHASHIKANT P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9700 GARFIELD BLVD, #103, GARFIELD HEIGHTS, OH 44125
(216) 641-0600
(216) 641-0628
Mailing address
9700 GARFIELD BLVD, #103, GARFIELD HEIGHTS, OH 44125
(216) 641-0600
(216) 641-0628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034329
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129523
ANTHEM BLUE SHIELD
OH
05
—
0203694
—
OH
01
—
202883
WELLCARE
OH
01
—
735722
BUCKEYE
OH
01
—
T03520
SUMMACARE
OH
Enumeration date
09/20/2006
Last updated
02/01/2008
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