Provider Demographics
NPI:1174215230
Name:SHAH, DHRUVIL KIRANBHAI
Entity type:Individual
Prefix:MR
First Name:DHRUVIL
Middle Name:KIRANBHAI
Last Name:SHAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 EAST MARKET STREET,
Mailing Address - Street 2:WESTERN RESERVE HEALTH EDUCATION, INC. 7TH FLOOR
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483
Mailing Address - Country:US
Mailing Address - Phone:330-675-5706
Mailing Address - Fax:330-675-5720
Practice Address - Street 1:1350 EAST MARKET STREET,
Practice Address - Street 2:WESTERN RESERVE HEALTH EDUCATION, INC. 7TH FLOOR
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483
Practice Address - Country:US
Practice Address - Phone:330-675-5706
Practice Address - Fax:330-675-5720
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program