Individual
MANISHA H. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-6529
(614) 293-9469
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5066
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
35073710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104814
—
OH
Enumeration date
08/03/2006
Last updated
12/04/2020
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