Organization
M.C. & JYOTI SHAH INC.
Active
Other names
M.C. SHAH, MD. INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHENDRAKUMAR C. SHAH MD (OWNER)
(740) 444-5911
Entity
Organization
Contact information
Practice address
509 S. 3RD AVENUE, M.C. SHAH. MD. INC., MIDDLEPORT, OH 45760
(740) 444-5911
(740) 444-5913
Mailing address
509 S 3RD AVENUE, M.C. SHAH MD. INC., MIDDLEPORT, OH 45760
(740) 444-5911
(740) 444-5913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.050056
OH
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084205000
—
WV
05
—
0547377
—
OH
Enumeration date
10/18/2007
Last updated
03/28/2013
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