Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 35.140188 | OH |
NPI | 1205299823 |
---|---|
Provider Name | Kavita Shah |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43214-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 25/01/2022 |