Organization
RICHLAND PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA R SHAKER M.D. (PRESIDENT)
(419) 522-5454
Entity
Organization
Contact information
Practice address
120 STURGES AVE, MANSFIELD, OH 44903-2399
(419) 522-5454
Mailing address
120 STURGES AVE, MANSFIELD, OH 44903-2399
(419) 522-5454
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35042404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300512
—
OH
Enumeration date
03/22/2007
Last updated
08/22/2020
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