M.c. Shah, Md. Inc. | |
509 S. 3rd Avenue M.c. Shah. Md. Inc. Middleport OH 45760 | |
(740) 444-5911 | |
(740) 444-5913 |
Full Name | M.c. Shah, Md. Inc. |
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Speciality | Internal Medicine |
Location | 509 S. 3rd Avenue, Middleport, Ohio |
Authorized Official Name and Position | Mahendrakumar C. Shah (OWNER) |
Authorized Official Contact | 7404445911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M.c. Shah, Md. Inc. 509 S 3rd Avenue M.c. Shah Md. Inc. Middleport OH 45760 Ph: (740) 444-5911 | M.c. Shah, Md. Inc. 509 S. 3rd Avenue M.c. Shah. Md. Inc. Middleport OH 45760 Ph: (740) 444-5911 |
NPI Number | 1669661385 |
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Provider Enumeration Date | 10/18/2007 |
Last Update Date | 03/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669661385 | NPI | - | NPPES |
0547377 | Medicaid | OH | |
0084205000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35.050056 (Ohio) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |