Provider Demographics
NPI:1427827658
Name:SHAH, DARSHIL DHIREN (PHARM D, RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:DARSHIL
Middle Name:DHIREN
Last Name:SHAH
Suffix:
Gender:M
Credentials:PHARM D, RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 PROSPECT AVE E APT 317
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2691
Mailing Address - Country:US
Mailing Address - Phone:224-231-9837
Mailing Address - Fax:
Practice Address - Street 1:16803 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5510
Practice Address - Country:US
Practice Address - Phone:216-252-3102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034438821835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care