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Individual

DHRUV J SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3610 W MARKET ST, SUITE 108, FAIRLAWN, OH 44333-9301
(330) 666-1400
(330) 666-0500
Mailing address
3610 W MARKET ST, SUITE 108, FAIRLAWN, OH 44333-9301
(330) 666-1400
(330) 666-1414

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35084026S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2589220
OH
Enumeration date
12/22/2005
Last updated
04/26/2013
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