Shah, Bhupendra K
Shah, Bhupendra K is an sole proprietor health care provider with primary practice located at 2452 Lake Ave , Fort Wayne IN 46805-5406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shah, Bhupendra K can be contacted via phone (260) 422-9494.Contact Information
Primary practice address
2452 Lake Ave
Fort Wayne IN 46805-5406
Phone: (260) 422-9494
Fax: (260) 422-9142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01030038A | Indiana |
Profile Details
| NPI number | 1760480800 |
|---|---|
| LBN Legal business name | Shah, Bhupendra K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jun 28th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760480800 | NPPES |
| Indiana | MEDICAID | 100079820A |
Popular Providers
-
Later, Paul E.
7956 W Jefferson Blvd , Fort Wayne IN 46804-4140 -
Kori De Graf, Adriana A
11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701 -
Khan, Atiya S.
11115 Parkview Plaza Dr , Fort Wayne IN 46845-1701 -
Verma, Rajesh
2121 Lake Ave , Fort Wayne IN 46805-5100 -
Haller, Andrea Leigh
7956 W Jefferson Blvd , Fort Wayne IN 46804-4140 -
Jones, Elaine Celeste
11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1673 -
Stevens, James C
7956 W Jefferson Blvd , Fort Wayne IN 46804-4140 -
Bhat, Madhav H
2510 E Dupont Rd Ste 226 , Fort Wayne IN 46825-1603