Individual
HARDEEPAK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 ROCKSIDE RD, SUITE 260, INDEPENDENCE, OH 44131-2358
(440) 503-6286
Mailing address
8805 BRECKSVILLE RD UNIT 2, BRECKSVILLE, OH 44141-1952
(216) 369-2525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-121981
OH
207Q00000X
Family Medicine Physician
4301097171
MI
Other
Enumeration date
07/14/2010
Last updated
06/15/2020
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