Organization
PREMIER ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMMIT S SHAH MD, FAAAAI (PRESIDENT, CEO)
(614) 328-9927
Entity
Organization
Contact information
Practice address
6565 PERIMETER DR, DUBLIN, OH 43016-8461
(614) 328-9927
(614) 389-3727
Mailing address
6565 PERIMETER DR, DUBLIN, OH 43016-8461
(614) 328-9927
(614) 389-3727
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
096318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115462
—
OH
Enumeration date
12/03/2010
Last updated
08/04/2014
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