Individual
SHAILA PATEL FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 893-5984
(419) 891-8033
Mailing address
P.O. BOX 1188, BOWLING GREEN, OH 43402-1188
(419) 861-7052
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35077775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037521
—
OH
Enumeration date
01/26/2006
Last updated
09/15/2017
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