Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35058005 | OH |
NPI | 1114023652 |
---|---|
Provider Name | Yogesh G Shah |
First Address | Cleveland, OH 44111-5610 |
Second Address | Cleveland, OH 44111-5610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 14/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0735511 | (05) | OH |
7254911 | (02) | OH |
C49642 | (02) | OH |