| Dipika J Shah, M D Inc | |
|
75 Banting Dr Georgetown OH 45121-1460 | |
| (513) 319-4856 | |
| Not Available |
| Full Name | Dipika J Shah, M D Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 75 Banting Dr, Georgetown, Ohio |
| Authorized Official Name and Position | Dipika Shah (PRESIDENT) |
| Authorized Official Contact | 5133194856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dipika J Shah, M D Inc 2145 Heather Hill Blvd S Cincinnati OH 45244-2662 Ph: () - | Dipika J Shah, M D Inc 75 Banting Dr Georgetown OH 45121-1460 Ph: (513) 319-4856 |
| NPI Number | 1285184143 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Medicare PECOS PAC ID | 8325321813 |
|---|---|
| Medicare Enrollment ID | O20170207002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285184143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Ohio) | Primary |
| Provider Name | Dipika J Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316939937 PECOS PAC ID: 7416952403 Enrollment ID: I20060926000357 |
Emily Souder, Therapist, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Henize Rd, Georgetown, OH 45121 Phone: 513-399-7238 Fax: 937-378-8015 |