Organization
AULTMAN DEUBLE HEART & VASCULAR HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKBAR SHAH MD (PRESIDENT)
(330) 454-8076
Entity
Organization
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 454-8076
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/09/2019
Last updated
09/18/2019
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