Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35.139646 | OH |
NPI | 1033538699 |
---|---|
Provider Name | Ruchi Shah |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-7817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 13/10/2020 |