Individual
DR. PUSHPA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2415 AUBURN AVE, CINCINNATI, OH 45219-2701
(513) 241-4949
(513) 241-4191
Mailing address
2415 AUBURN AVE, CINCINNATI, OH 45219-2701
(513) 221-4949
(513) 241-4191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35063125S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374019
ANTHEM BCBS
OH
05
—
0896311
—
OH
Enumeration date
10/12/2006
Last updated
10/04/2011
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