Shah, Dhiraj

Shah, Dhiraj is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shah, Dhiraj can be contacted via phone (765) 662-4236.

Contact Information

Primary practice address
441 N Wabash Ave Marion IN 46952-2612
Phone: (765) 662-4236
Fax: (765) 662-4903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01087976A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01087976A Indiana

Profile Details

NPI number 1053965392
LBN Legal business name Shah, Dhiraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2019
Last updated Nov 8th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053965392 NPPES
Indiana Other 1102638432 ANTHEM

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