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Individual

BHARAT J SHAH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
63 BAKER BLVD, FAIRLAWN, OH 44333-3601
(330) 864-6331
(330) 572-0639
Mailing address
63 BAKER BLVD, FAIRLAWN, OH 44333-3601
(330) 864-6331
(330) 572-0639

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35051270S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0590212
OH
Enumeration date
12/22/2005
Last updated
07/08/2007
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