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Organization

RICHLAND PEDIATRICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHANDRA R SHAKER MDFAAP (PRESIDENT)
(419) 522-5454
Entity
Organization

Contact information

Practice address
120 STURGES AVE, STE 1, MANSFIELD, OH 44903
(419) 522-5454
(419) 522-2981
Mailing address
120 STURGES AVE, STE 1, MANSFIELD, OH 44903
(419) 522-5454
(419) 522-2981

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35042404S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2300512
OH
Enumeration date
08/01/2005
Last updated
08/22/2020
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