Individual
DR. BINIT JAGOLISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2400
Mailing address
24701 EUCLID AVENUE, 3RD FLOOR, EUCLID, OH 44117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
097615
OH
2084P0800X
Psychiatry Physician
Primary
35.097615
OH
2084P0800X
Psychiatry Physician
MD036595
DC
208VP0000X
Pain Medicine Physician
35.097615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050963
—
OH
01
—
P00989403
MEDICARE RAILROAD
OH
Enumeration date
12/20/2007
Last updated
01/28/2012
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