Provider Demographics
NPI:1184608960
Name:NARANG, SHASHI R (MD)
Entity type:Individual
Prefix:
First Name:SHASHI
Middle Name:R
Last Name:NARANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16687 SAINT CLAIR AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9401
Mailing Address - Country:US
Mailing Address - Phone:330-385-8888
Mailing Address - Fax:330-385-4884
Practice Address - Street 1:16687 SAINT CLAIR AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9401
Practice Address - Country:US
Practice Address - Phone:330-385-8888
Practice Address - Fax:330-385-4884
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35045779N2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP45779OtherWV HEALTH PLAN
WV406575OtherMOUNTAIN STATE
WV0112222000OtherPAAS
OH10796646OtherANTHEM
OH0450739Medicaid