Individual
AMRUSHA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-6223
(330) 363-3877
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
(765) 935-8592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01096181A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010180
—
OH
05
—
300117855
—
IN
Enumeration date
07/12/2022
Last updated
10/17/2025
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