Individual
ALKA MAYANK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
821 NICKLIN AVE, PIQUA, OH 45356-1739
(937) 773-0012
(937) 773-3712
Mailing address
821 NICKLIN AVE, PIQUA, OH 45356-1739
(937) 773-0012
(937) 773-3712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35038331S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366143
—
OH
Enumeration date
07/11/2005
Last updated
07/08/2007
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