Shah, Chandrakant S

Shah, Chandrakant S is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shah, Chandrakant S can be contacted via phone (330) 297-0811.

Contact Information

Primary practice address
6847 N Chestnut St Ravenna OH 44266-3929
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-047623 Ohio

Profile Details

NPI number 1073585683
LBN Legal business name Shah, Chandrakant S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073585683 NPPES
Ohio MEDICAID 0563877
Ohio Other 000000142791

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