Individual
DR. BHARAT C. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4804 LEAVITT RD, SUITE A, LORAIN, OH 44053-2139
(440) 989-2066
(440) 989-1153
Mailing address
4804 LEAVITT RD, SUITE A, LORAIN, OH 44053-2139
(440) 989-2066
(440) 989-1153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-05-8483-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220928
ANTHEM
OH
01
—
0722134004
CIGNA
OH
05
—
0781186
—
OH
01
—
106628
KAISER PERMANENTE
OH
01
—
201446300
FEDERAL WORKERS COMPENSAT
OH
01
—
341961205027
CARESOURCE
OH
01
—
353056
WELLCARE
OH
01
—
720000157
RR MEDICARE
OH
01
—
7412481
AETNA
OH
01
—
BA-8214437
MULTIPLAN
OH
01
—
MEDICAL MUTUAL OF OH
INDIVIDUAL PROVIDER NUMBE
OH
Enumeration date
06/10/2005
Last updated
02/28/2013
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