Organization
OHIOGIMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALYANI SHAH MD (OWNER)
(559) 800-1366
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, WILLIAMSBURG, OH 45176-1146
(937) 716-1226
Mailing address
5824 OAK CREEK TRL, DAYTON, OH 45424-4097
(559) 800-1366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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