Individual
ARCHANA SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3333 BURNET AVE ML 1035, CINCINNATI, OH 45229
(513) 636-4261
(513) 636-3924
Mailing address
PO BOX 78000, DETROIT, MI 48278-1676
(614) 722-5315
(614) 355-1597
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2013020689
MO
207ZP0101X
Anatomic Pathology Physician
35.138922
OH
207ZP0101X
Anatomic Pathology Physician
ME131663
FL
207ZP0213X
Pediatric Pathology Physician
Primary
35.138922
OH
207ZP0213X
Pediatric Pathology Physician
MT210541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020798600
—
FL
05
—
0399667
—
OH
01
—
H783280
MEDICARE
OH
01
—
IY913Z
MEDICARE
FL
Enumeration date
07/24/2013
Last updated
04/16/2025
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