Individual
MUKESH R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5969 E BROAD ST, STE 202, COLUMBUS, OH 43213-1546
(614) 367-0585
(614) 367-0599
Mailing address
5969 E BROAD ST, STE 202, COLUMBUS, OH 43213-1546
(614) 367-0585
(614) 367-0599
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35051228S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0584461
—
OH
Enumeration date
09/15/2005
Last updated
11/17/2016
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