Sanjay Surendra Shah, MD | |
5800 Monroe St, Bldg A, Sylvania, OH 43560-2263 | |
(419) 885-8449 | |
(419) 882-7621 |
Full Name | Sanjay Surendra Shah |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 32 Years |
Location | 5800 Monroe St, Sylvania, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649275785 | NPI | - | NPPES |
2200540 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 35075703 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians North Specialty Care Llc | 1951707884 | 305 |
Entity Name | Mercy Health Physicians-north Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Mailing Address | Practice Location Address |
---|---|
Sanjay Surendra Shah, MD 5800 Monroe St, Bldg A, Sylvania, OH 43560-2263 Ph: (419) 885-8449 | Sanjay Surendra Shah, MD 5800 Monroe St, Bldg A, Sylvania, OH 43560-2263 Ph: (419) 885-8449 |
Dominique Lash, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5800 Monroe St Bldg A, Sylvania, OH 43560 Phone: 419-885-8449 Fax: 419-882-7621 | |
Shang Youl Rhee, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5800 Monroe St, Bldg A, Sylvania, OH 43560 Phone: 419-885-8449 Fax: 419-882-7621 | |
Timothy Hall Sigman, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5800 Monroe St, Bldg A, Sylvania, OH 43560 Phone: 419-885-8449 Fax: 419-882-7621 | |
Shannon Desmond, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5800 Monroe St Bldg A, Sylvania, OH 43560 Phone: 419-885-8449 Fax: 419-882-7621 | |
Shenae Kramer, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4121 King Rd, Sylvania, OH 43560 Phone: 419-871-9083 | |
Matthew Thomas Hutcherson, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5800 Monroe St Ste A10, Sylvania, OH 43560 Phone: 419-885-8449 Fax: 419-882-7621 |