Individual
VINODBALA S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
(330) 343-8188
Mailing address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
(330) 343-8188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-04-5787-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493792
—
OH
Enumeration date
07/14/2006
Last updated
07/08/2007
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