MEDICARE: ARVIND B SHAH MD INC

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
1	207RH0003X	Hematology & Oncology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CK4653	OTHER	WV	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710948146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARVIND B SHAH MD INC

Provider Business Mailing Address
First Line	:	401 DIVISION ST
Second Line	:	STE 100
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1455
Country	:	US
Telephone Number	:	304-766-4350
Fax Number	:	304-766-4355

Provider Business Practice Location Address
First Line	:	401 DIVISION ST
Second Line	:	STE 100
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1455
Country	:	US
Telephone Number	:	304-766-4350
Fax Number	:	304-766-4355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARVIND B SHAH
Credential	:	M.D.
Telephone Number	:	304-766-4350

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	06/27/2008

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Directions to “ARVIND B SHAH MD INC ” Practice Location

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