Individual
DR. GAUTAM VINOD SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
20455 LORAIN RD FL 2, FAIRVIEW PARK, OH 44126
(216) 408-1044
Mailing address
20455 LORAIN RD FL 2, FAIRVIEW PARK, OH 44126-3530
(216) 408-1044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.136566
OH
Other
Enumeration date
08/15/2013
Last updated
07/12/2019
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