Organization
KRUTI INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRUTI SHAH MD (OWNER)
(330) 502-2194
Entity
Organization
Contact information
Practice address
1724 DAFFODIL TRL, POLAND, OH 44514-5210
(330) 502-2194
Mailing address
1724 DAFFODIL TRL, POLAND, OH 44514-5210
(330) 502-2194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521944
—
OH
Enumeration date
02/20/2007
Last updated
08/22/2020
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