Organization
BHARAT J SHAH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARAT J SHAH M.D. (PRESIDENT)
(330) 572-0641
Entity
Organization
Contact information
Practice address
63 BAKER BLVD, FAIRLAWN, OH 44333-3601
(330) 572-0641
(330) 572-0639
Mailing address
63 BAKER BLVD, FAIRLAWN, OH 44333-3601
(330) 572-0641
(330) 572-0639
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
35051270
OH
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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