Individual
SAMIR S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE., ML 9016, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, CINCINNATI, OH 45229-3026
(513) 636-6222
(513) 636-4402
Mailing address
3333 BURNET AVE., ML 9016, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, CINCINNATI, OH 45229-3026
(513) 636-6222
(513) 636-4402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.097238
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35.097238
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001867231
—
PA
05
—
8604100
—
NJ
Enumeration date
07/31/2006
Last updated
02/02/2012
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