Shah, Manjula A
Shah, Manjula A is an sole proprietor health care provider with primary practice located at 3690 Orange Pl Ste 220 , Beachwood OH 44122-4465. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shah, Manjula A can be contacted via phone (216) 831-1494.Contact Information
Primary practice address
3690 Orange Pl Ste 220
Beachwood OH 44122-4465
Phone: (216) 831-1494
Fax: (216) 831-9931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35035097S | Ohio |
Profile Details
| NPI number | 1639103484 |
|---|---|
| LBN Legal business name | Shah, Manjula A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639103484 | NPPES |
| Ohio | MEDICAID | 0281476 |
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