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NPI Code Detail

MEDICARE: ACTION SPINE AND PAIN CENTER, PC

MEDICARE: ACTION SPINE AND PAIN CENTER, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician35084026OH

General Provider Information

NPI Number : 1447330766
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTION SPINE AND PAIN CENTER, PC
Provider Business Mailing Address
First Line : 57 BAKER BLVD
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3601
Country : US
Telephone Number : 330-666-1400
Fax Number :
Provider Business Practice Location Address
First Line : 57 BAKER BLVD
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3601
Country : US
Telephone Number : 330-666-1400
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DHRUV J SHAH
Credential : M.D.
Telephone Number : 330-572-0641
Provider Enumeration Date : 10/17/2006
Last Update Date : 06/20/2025

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Directions to “ACTION SPINE AND PAIN CENTER, PC ” Practice Location

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