Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35-065435 | OH |
Y | 207RP1001X | Pulmonary Disease | 35-65435 | OH |
N | 207RS0012X | Sleep Medicine | 35-065435 | OH |
NPI | 1033130885 |
---|---|
Provider Name | Dr. Hemant M Shah |
First Address | Cleveland, OH 44193-0035 |
Second Address | Miamisburg, OH 45342-3908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 26/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110084173 | RRMEDICARE PTAN (01) | OH |
958629 | (05) | OH |
F69085 | (02) | OH |