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Individual

SANJAY SURENDRA SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4126 N. HOLLAND-SYLVANIA RD, SUITE 220, TOLEDO, OH 43623
(419) 885-8449
(419) 882-7621
Mailing address
4126 N. HOLLAND-SYLVANIA RD, SUITE 220, TOLEDO, OH 43623
(419) 885-8449
(419) 882-7621

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35075703
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2200540
OH
Enumeration date
06/16/2005
Last updated
06/09/2025
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