Organization
COSHOCTON SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIND SHAH M.D. (PHYSICIAN)
(740) 623-4009
Entity
Organization
Contact information
Practice address
311 S 15TH ST, SUITE 105, COSHOCTON, OH 43812-1873
(740) 295-3360
(740) 622-0636
Mailing address
PO BOX 1377, COSHOCTON, OH 43812-6377
(740) 295-3360
(740) 295-3363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35049654
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555260
—
OH
Enumeration date
06/09/2006
Last updated
03/12/2008
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