Organization
N SHAH THAKER, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRANJANA SHAH THAKER M.D. (OWNER)
(440) 439-9797
Entity
Organization
Contact information
Practice address
88 CENTER RD, 250, BEDFORD, OH 44146-2700
(440) 439-9797
(440) 439-9775
Mailing address
88 CENTER RD, 250, BEDFORD, OH 44146-2700
(440) 439-9797
(440) 439-9775
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35041778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2744187
—
OH
Enumeration date
01/25/2007
Last updated
06/10/2014
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