| Chandrakant S Shah, MD | |
| 6847 N Chestnut St, Ravenna, OH 44266-3929 | |
| (330) 297-0811 | |
| Not Available | 
| Full Name | Chandrakant S Shah | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 6847 N Chestnut St, Ravenna, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073585683 | NPI | - | NPPES | 
| 0563877 | Medicaid | OH | |
| 000000142791 | Other | OH | ANTHEM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 35-047623 (Ohio) | Primary | 
| Entity Name | North East Ohio Group Practice Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 | 
| Entity Name | Robinson Health System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083045504 PECOS PAC ID: 9739318635 Enrollment ID: O20140218000724 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chandrakant S Shah, MD Po Box 30716, Cleveland, OH 44130-0716 Ph: (440) 879-0081 | Chandrakant S Shah, MD 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 297-0811 | 
| Hannah Yiechin Zhou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St Ste 330, Ravenna, OH 44266 Phone: 330-235-7430 Fax: 330-235-7432 | |
| Ms. Claudine E. Siegert, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St Ste 330, Ravenna, OH 44266 Phone: 330-235-7430 Fax: 330-235-7432 | |
| John Gusz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3973 Loomis Pkwy, Suite A, Ravenna, OH 44266 Phone: 330-296-8239 Fax: 330-296-6528 | |
| Edward F Kieger Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
| Dr. Jennan Yuh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3972 Loomis Pkwy, Suite A, Ravenna, OH 44266 Phone: 330-296-8239 Fax: 330-296-6528 | |
| Dr. Lynn Wojtasik, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3973 Loomis Pkwy, Suite B, Ravenna, OH 44266 Phone: 330-296-8239 Fax: 330-296-6528 |