Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35049654 | OH |
Y | 208600000X | Surgeon | 35049654 | OH |
NPI | 1013945369 |
---|---|
Provider Name | Arvind Shah |
First Address | Coshocton, OH 43812-1873 |
Second Address | Coshocton, OH 43812-1873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 12/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0555260 | (05) | OH |
A15684 | (02) |