Provider Demographics
NPI:1043509979
Name:SHAH, NEHA NARENDRA (DO)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:NARENDRA
Last Name:SHAH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:N
Other - Last Name:KHARIWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2720 AIRPORT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2219
Mailing Address - Country:US
Mailing Address - Phone:614-388-7650
Mailing Address - Fax:
Practice Address - Street 1:2720 AIRPORT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-2219
Practice Address - Country:US
Practice Address - Phone:614-388-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH340110542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program