| M.c. & Jyoti Shah Inc. | |
|
509 S. 3rd Avenue M.c. Shah. Md. Inc. Middleport OH 45760 | |
| (740) 444-5911 | |
| (740) 444-5913 |
| Full Name | M.c. & Jyoti Shah Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 509 S. 3rd Avenue, Middleport, Ohio |
| Authorized Official Name and Position | Mahendrakumar C. Shah (OWNER) |
| Authorized Official Contact | 7404445911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.c. & Jyoti Shah Inc. 509 S 3rd Avenue M.c. Shah Md. Inc. Middleport OH 45760 Ph: (740) 444-5911 | M.c. & Jyoti Shah Inc. 509 S. 3rd Avenue M.c. Shah. Md. Inc. Middleport OH 45760 Ph: (740) 444-5911 |
| NPI Number | 1669661385 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669661385 | NPI | - | NPPES |
| 0547377 | Medicaid | OH | |
| 0084205000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 35.050056 (Ohio) | Primary |