Individual
NILESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 OLIVE ST STE 201, AKRON, OH 44310-3169
(330) 379-5051
(330) 379-5074
Mailing address
20 OLIVE ST STE 201, AKRON, OH 44310-3169
(330) 379-5051
(330) 379-5074
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35-076963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2458165
—
OH
Enumeration date
05/26/2006
Last updated
08/15/2011
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