Individual
MR. MAHENDRAKUMAR C. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 S. 3RD AVENUE, M.C. SHAH MD INC, MIDDLEPORT, OH 45760
(740) 444-5911
(740) 444-5913
Mailing address
509 S. 3RD AVENUE, M.C. SHAH, MD INC, MIDDLEPORT, OH 45760
(740) 444-5911
(740) 444-5913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13785
WV
207R00000X
Internal Medicine Physician
Primary
35.050056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084205000
—
WV
05
—
0547377
—
OH
Enumeration date
11/17/2006
Last updated
02/14/2013
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