Provider Demographics
NPI:1932323409
Name:SHAH, PARTHIV R (MD)
Entity Type:Individual
Prefix:MR
First Name:PARTHIV
Middle Name:R
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PARTHIV
Other - Middle Name:R
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1010 CEREAL AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-2784
Mailing Address - Country:US
Mailing Address - Phone:513-867-3331
Mailing Address - Fax:513-867-2667
Practice Address - Street 1:1010 CEREAL AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2784
Practice Address - Country:US
Practice Address - Phone:513-867-3331
Practice Address - Fax:513-867-2667
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.126013207RC0000X, 207RC0001X
IN01073015A207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0129475Medicaid
OHH371050Medicare PIN
OHH297180Medicare PIN