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Prasun Jayesh Shah, MD
Student in an Organized Health Care Education/Training Program in Fairborn, Ohio
NPI 1548956600

Prasun Jayesh Shah is a Student in an Organized Health Care Education/Training Program based in Fairborn, OH. Prasun Jayesh Shah practices in Fairborn, OH and has the professional credentials of MD. The NPI Number for Prasun Jayesh Shah is 1548956600 and holds a License No. (Ohio).

The current practice location address for Prasun Jayesh Shah is 2555 University Dr, Fairborn, OH and can be reached out via phone at 937-775-7792.

Location: 2555 University Dr, Fairborn, OH, 45324-6255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548956600
Provider Name
Prasun Jayesh Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2555 University Dr, Fairborn, OH, 45324-6255
Phone Number
937-775-7792
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2555 University Dr
City
Fairborn
State
Ohio
Zip
45324-6255
Phone Number
937-775-7792
Fax Number
person
Provider Business Mailing Address Details
Address
2555 University Dr
City
Fairborn
State
Ohio
Zip
45324-6255
Phone Number
937-775-7792
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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