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Individual

NIKHIL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
563 BRENDIBLE STREET, METLAKATLA, AK 99926
(907) 886-4742
(907) 886-5831
Mailing address
7735 OHIO ST, MENTOR, OH 44060-4850
(440) 251-3340

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
201084
AK
363A00000X
Physician Assistant
50.006202RX
OH

Other

Enumeration date
10/31/2019
Last updated
06/30/2025
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