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Individual

DR. KALYANI D SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, C-21, CLEVELAND, OH 44195-0001
(216) 445-0915
(216) 636-0221
Mailing address
9500 EUCLID AVE, C-21, CLEVELAND, OH 44195-0001
(216) 445-0915
(216) 636-0221

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3585346
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02577833
NY
Enumeration date
06/24/2005
Last updated
12/27/2007
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