Individual
MR. ANUJ M SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
2020-00468
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
35147084
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
35147084
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005358
—
OH
01
—
H953000
MEDICARE
OH
Enumeration date
04/07/2015
Last updated
03/14/2025
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