Individual
STEPHEN THOMAS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
(614) 366-2360
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111
(216) 476-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-081916
OH
208M00000X
Hospitalist Physician
Primary
35-081916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2380043
—
OH
Enumeration date
06/14/2005
Last updated
08/10/2017
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