Basic Information
Provider Information
NPI: 1750348017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAH
FirstName: APARNA
MiddleName: DIWAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2123 AUBURN AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192906
CountryCode: US
TelephoneNumber: 5134632500
FaxNumber: 5134632510
Practice Location
Address1: 2123 AUBURN AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192906
CountryCode: US
TelephoneNumber: 5134632500
FaxNumber: 5134632510
Other Information
ProviderEnumerationDate: 04/28/2006
LastUpdateDate: 10/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/26/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X35-120011OHN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207VF0040X35 120011OHY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery

No ID Information.


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