Individual
GAURANG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3088 ANGEL DR, BETHEL, OH 45106-9533
(513) 734-6979
(513) 734-6210
Mailing address
3088 ANGEL DR, BETHEL, OH 45106-9533
(513) 734-6979
(513) 734-6210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-008747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2694795
—
OH
Enumeration date
08/12/2006
Last updated
01/23/2012
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