Individual
MANJULA A SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3690 ORANGE PL STE 220, BEACHWOOD, OH 44122-4465
(216) 831-1494
(216) 831-9931
Mailing address
22011 S WOODLAND RD, SHAKER HTS, OH 44122-3060
(216) 491-9390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35035097S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281476
—
OH
Enumeration date
07/10/2006
Last updated
07/08/2007
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