Shah, Sanjay Surendra

Shah, Sanjay Surendra is an individual health care provider with primary practice located at 5800 Monroe St Bldg A, Sylvania OH 43560-2263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Shah, Sanjay Surendra can be contacted via phone (419) 885-8449.

Contact Information

Primary practice address
5800 Monroe St Bldg A Sylvania OH 43560-2263
Phone: (419) 885-8449
Fax: (419) 882-7621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35075703 Ohio

Profile Details

NPI number 1649275785
LBN Legal business name Shah, Sanjay Surendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 22nd, 2016 - about 9 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 1649275785 NPPES
Ohio MEDICAID 2200540

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