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Organization

SHASHI P SHAH MD

Active
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Organization

SHASHI P SHAH MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHASHIKANT P SHAH MD (OWNER PRESIDENT)
(216) 641-0600
Entity
Organization

Contact information

Practice address
9700 GARFIELD BLVD, #103, GARFIELD HEIGHTS, OH 44125
(216) 641-0600
(216) 641-0628
Mailing address
9700 GARFIELD BLVD, #103, GARFIELD HEIGHTS, OH 44125
(216) 641-0600
(216) 641-0628

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034329
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2724109
OH
Enumeration date
10/27/2006
Last updated
02/01/2008
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