Individual
ANJANA HEMANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
722 N. FAIRFIELD RD., BEAVERCREEK, OH 45434
(937) 208-7000
(937) 208-7010
Mailing address
722 N. FAIRFIELD RD., BEAVERCREEK, OH 45434
(937) 208-7000
(937) 208-7010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-06-5984-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0952796
—
OH
Enumeration date
06/07/2006
Last updated
10/23/2014
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