Provider Demographics
NPI:1649439746
Name:SHAH, RUPA DADHANIA (MD)
Entity type:Individual
Prefix:DR
First Name:RUPA
Middle Name:DADHANIA
Last Name:SHAH
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 1:262 NEIL AVE
Mailing Address - Street 2:STE 320
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7311
Mailing Address - Country:US
Mailing Address - Phone:216-778-1000
Mailing Address - Fax:
Practice Address - Street 1:262 NEIL AVE
Practice Address - Street 2:STE 320
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7311
Practice Address - Country:US
Practice Address - Phone:216-778-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program