Individual
NIRANJAN T SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7000
(740) 383-7942
Mailing address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(740) 383-7000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35043281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609096
—
OH
05
—
2105368
—
OH
Enumeration date
07/10/2006
Last updated
10/23/2015
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