Organization
SALEM PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHESH M SHAH (PRESIDENT)
(937) 377-6595
Entity
Organization
Contact information
Practice address
7111 NORTH MAIN ST, DAYTON, OH 45415-2565
(937) 277-6595
(937) 277-6998
Mailing address
7111 NORTH MAIN ST, DAYTON, OH 45415-2565
(937) 277-6595
(937) 277-6998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576872
—
OH
Enumeration date
12/05/2006
Last updated
08/22/2020
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