Individual
DR. SHOBHA U LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1432 CLARK ST, SUITE 5, CAMBRIDGE, OH 43725-8745
(740) 439-6664
(740) 439-8664
Mailing address
1432 CLARK ST, SUITE 5, CAMBRIDGE, OH 43725-8745
(740) 439-6664
(740) 439-8664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35039646
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310685
—
OH
01
—
1200270
UNITED HEALTH PLAN
OH
01
—
44440
CORE SOURCE
OH
01
—
C0039646
HEALTH PLAN OF UPPER OHIO
OH
Enumeration date
06/25/2006
Last updated
07/08/2007
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