Provider Demographics
NPI:1174526347
Name:SHAH, ARVIND B (MD)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:B
Last Name:SHAH
Suffix:
Gender:M
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:# L-3539
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-0001
Mailing Address - Country:US
Mailing Address - Phone:304-414-4800
Mailing Address - Fax:304-414-4801
Practice Address - Street 1:# L-3539
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43260-0001
Practice Address - Country:US
Practice Address - Phone:304-414-4800
Practice Address - Fax:304-414-4801
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13593207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0084006000Medicaid
WVD83536Medicare UPIN
WV5858730001Medicare NSC
WV830004762OtherRAILROAD MEDICARE
WV5858730001Medicare NSC