Provider Demographics
NPI:1629636683
Name:SHAH, MANAN (MD)
Entity type:Individual
Prefix:MR
First Name:MANAN
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1250A LINCOLN TOWER, 1800 CANNON DRIVE, OHIO STATE UNIV
Mailing Address - Street 2:HEMATOLOGY AND MEDICAL ONCOLOGY DIVISION
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210
Mailing Address - Country:US
Mailing Address - Phone:614-293-8858
Mailing Address - Fax:404-752-1088
Practice Address - Street 1:460 W 10TH AVENUE OHIO STATE UNIVERSITY
Practice Address - Street 2:JAMES CANCER HOSPITAL AND SOLOVE RESEARCH INSTITUTE
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:800-293-5066
Practice Address - Fax:404-752-1088
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2025-06-05
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036.172589207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program