Chandrakant S Shah, MD | |
6847 N Chestnut St, Ravenna, OH 44266-3929 | |
(330) 297-0811 | |
Not Available |
Full Name | Chandrakant S Shah |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 6847 N Chestnut St, Ravenna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073585683 | NPI | - | NPPES |
0563877 | Medicaid | OH | |
000000142791 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35-047623 (Ohio) | Primary |
Entity Name | North East Ohio Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
Entity Name | Marymount Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031131 PECOS PAC ID: 6507763661 Enrollment ID: O20031217000026 |
Entity Name | Robinson Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083045504 PECOS PAC ID: 9739318635 Enrollment ID: O20140218000724 |
Mailing Address | Practice Location Address |
---|---|
Chandrakant S Shah, MD Po Box 30716, Cleveland, OH 44130-0716 Ph: (440) 879-0081 | Chandrakant S Shah, MD 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 297-0811 |
Hannah Yiechin Zhou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St Ste 330, Ravenna, OH 44266 Phone: 330-235-7430 Fax: 330-235-7432 | |
Ms. Claudine E. Siegert, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St Ste 330, Ravenna, OH 44266 Phone: 330-235-7430 Fax: 330-235-7432 | |
Jason Fried, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St Ste 100, Ravenna, OH 44266 Phone: 330-235-7434 Fax: 330-235-7436 | |
John Gusz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3973 Loomis Pkwy, Suite A, Ravenna, OH 44266 Phone: 330-296-8239 Fax: 330-296-6528 | |
Edward F Kieger Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Dr. Jennan Yuh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3972 Loomis Pkwy, Suite A, Ravenna, OH 44266 Phone: 330-296-8239 Fax: 330-296-6528 |