Individual
AJIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7215 OLD OAK BLVD, STE A 414, MIDDLEBURG HEIGHTS, OH 44130
(440) 816-2782
(440) 816-8695
Mailing address
24651 CENTER RIDGE RD, STE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35045151S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017966
RR MEDICARE INDIVIDUAL
—
05
—
0799864
—
OH
01
—
CA4511
RR MEDICARE GROUP
—
Enumeration date
03/07/2006
Last updated
10/25/2011
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