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Mukund K Shah, MD
Hematology & Oncology Physician in Marietta, Ohio
NPI 1194829721

Mukund K Shah is a Hematology & Oncology Physician based in Marietta, OH and is specialized in Hematology & Oncology. Mukund K Shah practices in Marietta, OH and has the professional credentials of MD. The NPI Number for Mukund K Shah is 1194829721 and holds a License No. 13835 (Ohio).

The current practice location address for Mukund K Shah is 400 Matthew St, Marietta, OH and can be reached out via phone at 740-376-5000 and via fax at 740-376-5002.

Location: 400 Matthew St, Marietta, OH, 45750-0449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194829721
Provider Name
Mukund K Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Matthew St, Marietta, OH, 45750-0449
Phone Number
740-376-5000
Fax Number
740-376-5002
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000525667 01 OH ANTHEM
P00997169 01 OH RRMCR
0085338000 05 WV
000000696927 01 OH ANTHEM
0549213 05 OH
institution
Provider Business Practice Location Address Details
Address
400 Matthew St
City
Marietta
State
Ohio
Zip
45750-1644
Phone Number
740-376-5000
Fax Number
740-376-5002
person
Provider Business Mailing Address Details
Address
400 Matthew St
City
Marietta
State
Ohio
Zip
45750-1644
Phone Number
740-376-5000
Fax Number
740-376-5002
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
13835 (West Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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